Johnston Elementary Head Start

10A NCAC 09 .0304 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 25 Completed Date: 3/11/2026 Age: From 3 To 5 Total Minutes: 224 Time In: 09:16 AM Time Out: 01:00 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 Rated License Assessment visit. Because six (6) months have passed since the last annual compliance visit and the submission of the Rated License Assessment application, today’s visit was determined to be an annual compliance visit with the Rated License Assessment. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. McLeod was available during the visit to assist. The indoor and outdoor areas were monitored today, including but not limited to 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-eight (98) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Community Action Opportunities, is current/active as of 3/9/26. Permit type – five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 2/10/26. The last lockdown drill was practiced on 3/5/26. The last playground inspection was documented on 3/2/26. The last fire inspection was approved on 2/12/26. The last sanitation inspection was conducted on 9/4/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint and asbestos testing was completed on 4/24/25. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS). Upon arrival, I announced my presence and the purpose of the visit. Thirteen (13) children from space #2, three-to-five years of age, played on the playground. Children rode tricycles, a portable slide, riding cars, a tunnel, bouncy balls, scooters, and dirt. Two (2) staff members were present – one (1) teacher and one (1) floater. The lead teacher returned to the playground at 9:28 am and took a child inside to use the bathroom. The group of children washed their hands upon returning to the classroom and engaged in free play. Duplo blocks, magnetic tiles, dress-up clothes, housekeeping materials, water table and other materials were used by the children. Staff members were spread apart in the classroom and each engaged with children. In space #1, a group of twelve (12) students, three-to-five years of age, also participated in free play. The lead teacher facilitated a small group activity, and the children planted seeds in the planters. The lesson plans in both classrooms included study/activities of pants and garden. In space #1, drawing of a plant explaining the parts, pictures of happy plants/not happy plans, ground animals, and books related to plants were present. In space #2, drawings of plants and plant parts were on the whiteboard, and children’s painting of plants were posted. Activities listed on the lesson plan – examination of seeds were not conducted during today’s visit. During group time, the lead teacher facilitated the discussion on plants. One (1) emergency medication was maintained in space #1. Storage of the medication was appropriate. The action plan was dated 9/5/25 and the permission form was dated 9/29/25. No hazardous products were accessible to children. Four (4) children’s files were monitored including two (2) NC Pre-K children’s files. Staff and Training Worksheet was submitted by Ms. McLeod during the visit. The playground was monitored. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. Additionally, portions of the fence measured between forty-four (44) and forty-five (45) inches in height. A garden box was located adjacent to the fence. Due to the garden box being positioned directly next to the fence, the effective height of the fence in that area was approximately thirty-eight (38) inches. The program had added a safety mesh net on top of the fence to increase the height; however, mesh netting is not considered a sturdy material and does not meet the required standards for fencing. Crispy chicken sandwiches, seasoned broccoli, sliced peaches and milk were served for lunch, and items were accurately listed on the menu. Supervision and interaction were adequate. Rated License Assessment: Mc. McLeod submitted the application for the Rated License Assessment in-person on February 18, 2026. Rest to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License and staff/child ratio sheet was submitted via email on 12/22/25. Head Start Grantee status was verified on March 9, 2025. Pathway-3 Accreditation Head Start Star Level Assessment form was signed by Ms. McLeod during today’s visit. During today’s visit, staff/child ratios of 1:9 were maintained, and the appropriate staff/child ratio forms were posted in both classrooms. 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 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. Ms. McLeod completed the monitoring tool on 10/30/25, and on-site visit was conducted by NC Pre-K Program Coordinator on 12/15/25. Two (2) children’s files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One (1) staff member did not wash hands upon returning from outside in space #2. 15A NCAC 18A .2803(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Safety mesh was added to the part of the fence by the garden box to make up the height of the fence. The Mesh is not sturdy material to meet the purpose of the fence. .0601(c) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar and the portions of the fence measured between forty-four (44) and forty-five (45) inches in height. GS 110-91(6); .0605((i) Technical assistance was provided as follows: 609: Staff handwashing Staff members must wash their hands on following occasions per 15A NCAC 18A .2803 HANDWASHING: (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. To comply, staff members must review the handwashing requirements. In your compliance letter, please verify the review of the requirements. 705: Equipment Equipment must be sturdy and free of hazards. To comply, the safety mesh on the fence above the garden box must be removed and replaced with more sturdy material. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 714: Entrapment Openings in equipment, steps, decks, handrails, and fencing must be less than 3 1/2” or greater than 9”. To comply, the gaps between the fence and the top bar must be closed. Additionally, you must make sure that protrusions or sharp metals are not accessible to the children by correcting the bent fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 824: Fence height Fence must be minimum of forty-eight inches: To comply, additional materials must be added to the top of the fence to achieve the required height. The materials must be sturdy, durable, and function as part of the fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 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 3/25/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: • Criminal background qualification letter will expire for B. Repass on 3/15/26. Please renew the letter promptly. • Epi-pen in space #1 will expire at the end of this month (March 2026). Expired medications must be returned to the parents or discarded within seventy-two (72) hours of expiration date. Staff Breaks: During today’s visit, the lead teacher in Space #2 was observed leaving the classroom four (4) times. Each absence lasted between five (5) and fifteen (15) minutes, and the staff was observed leaving the licensed premises. The reason for each absence was unknown at the time of observation. Programs must ensure staff members remain present and able to meet the needs of children in care and follow program procedures and applicable regulations. Based on verification of requirements in the Head Start Accreditation pathway, .3205 section of the child care rules, a five-star license will be earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 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

10A NCAC 09 .1102 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 25 Completed Date: 3/11/2026 Age: From 3 To 5 Total Minutes: 224 Time In: 09:16 AM Time Out: 01:00 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 Rated License Assessment visit. Because six (6) months have passed since the last annual compliance visit and the submission of the Rated License Assessment application, today’s visit was determined to be an annual compliance visit with the Rated License Assessment. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. McLeod was available during the visit to assist. The indoor and outdoor areas were monitored today, including but not limited to 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-eight (98) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Community Action Opportunities, is current/active as of 3/9/26. Permit type – five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 2/10/26. The last lockdown drill was practiced on 3/5/26. The last playground inspection was documented on 3/2/26. The last fire inspection was approved on 2/12/26. The last sanitation inspection was conducted on 9/4/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint and asbestos testing was completed on 4/24/25. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS). Upon arrival, I announced my presence and the purpose of the visit. Thirteen (13) children from space #2, three-to-five years of age, played on the playground. Children rode tricycles, a portable slide, riding cars, a tunnel, bouncy balls, scooters, and dirt. Two (2) staff members were present – one (1) teacher and one (1) floater. The lead teacher returned to the playground at 9:28 am and took a child inside to use the bathroom. The group of children washed their hands upon returning to the classroom and engaged in free play. Duplo blocks, magnetic tiles, dress-up clothes, housekeeping materials, water table and other materials were used by the children. Staff members were spread apart in the classroom and each engaged with children. In space #1, a group of twelve (12) students, three-to-five years of age, also participated in free play. The lead teacher facilitated a small group activity, and the children planted seeds in the planters. The lesson plans in both classrooms included study/activities of pants and garden. In space #1, drawing of a plant explaining the parts, pictures of happy plants/not happy plans, ground animals, and books related to plants were present. In space #2, drawings of plants and plant parts were on the whiteboard, and children’s painting of plants were posted. Activities listed on the lesson plan – examination of seeds were not conducted during today’s visit. During group time, the lead teacher facilitated the discussion on plants. One (1) emergency medication was maintained in space #1. Storage of the medication was appropriate. The action plan was dated 9/5/25 and the permission form was dated 9/29/25. No hazardous products were accessible to children. Four (4) children’s files were monitored including two (2) NC Pre-K children’s files. Staff and Training Worksheet was submitted by Ms. McLeod during the visit. The playground was monitored. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. Additionally, portions of the fence measured between forty-four (44) and forty-five (45) inches in height. A garden box was located adjacent to the fence. Due to the garden box being positioned directly next to the fence, the effective height of the fence in that area was approximately thirty-eight (38) inches. The program had added a safety mesh net on top of the fence to increase the height; however, mesh netting is not considered a sturdy material and does not meet the required standards for fencing. Crispy chicken sandwiches, seasoned broccoli, sliced peaches and milk were served for lunch, and items were accurately listed on the menu. Supervision and interaction were adequate. Rated License Assessment: Mc. McLeod submitted the application for the Rated License Assessment in-person on February 18, 2026. Rest to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License and staff/child ratio sheet was submitted via email on 12/22/25. Head Start Grantee status was verified on March 9, 2025. Pathway-3 Accreditation Head Start Star Level Assessment form was signed by Ms. McLeod during today’s visit. During today’s visit, staff/child ratios of 1:9 were maintained, and the appropriate staff/child ratio forms were posted in both classrooms. 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 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. Ms. McLeod completed the monitoring tool on 10/30/25, and on-site visit was conducted by NC Pre-K Program Coordinator on 12/15/25. Two (2) children’s files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One (1) staff member did not wash hands upon returning from outside in space #2. 15A NCAC 18A .2803(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Safety mesh was added to the part of the fence by the garden box to make up the height of the fence. The Mesh is not sturdy material to meet the purpose of the fence. .0601(c) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar and the portions of the fence measured between forty-four (44) and forty-five (45) inches in height. GS 110-91(6); .0605((i) Technical assistance was provided as follows: 609: Staff handwashing Staff members must wash their hands on following occasions per 15A NCAC 18A .2803 HANDWASHING: (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. To comply, staff members must review the handwashing requirements. In your compliance letter, please verify the review of the requirements. 705: Equipment Equipment must be sturdy and free of hazards. To comply, the safety mesh on the fence above the garden box must be removed and replaced with more sturdy material. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 714: Entrapment Openings in equipment, steps, decks, handrails, and fencing must be less than 3 1/2” or greater than 9”. To comply, the gaps between the fence and the top bar must be closed. Additionally, you must make sure that protrusions or sharp metals are not accessible to the children by correcting the bent fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 824: Fence height Fence must be minimum of forty-eight inches: To comply, additional materials must be added to the top of the fence to achieve the required height. The materials must be sturdy, durable, and function as part of the fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 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 3/25/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: • Criminal background qualification letter will expire for B. Repass on 3/15/26. Please renew the letter promptly. • Epi-pen in space #1 will expire at the end of this month (March 2026). Expired medications must be returned to the parents or discarded within seventy-two (72) hours of expiration date. Staff Breaks: During today’s visit, the lead teacher in Space #2 was observed leaving the classroom four (4) times. Each absence lasted between five (5) and fifteen (15) minutes, and the staff was observed leaving the licensed premises. The reason for each absence was unknown at the time of observation. Programs must ensure staff members remain present and able to meet the needs of children in care and follow program procedures and applicable regulations. Based on verification of requirements in the Head Start Accreditation pathway, .3205 section of the child care rules, a five-star license will be earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 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

10A NCAC 09 .1703 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 25 Completed Date: 3/11/2026 Age: From 3 To 5 Total Minutes: 224 Time In: 09:16 AM Time Out: 01:00 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 Rated License Assessment visit. Because six (6) months have passed since the last annual compliance visit and the submission of the Rated License Assessment application, today’s visit was determined to be an annual compliance visit with the Rated License Assessment. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. McLeod was available during the visit to assist. The indoor and outdoor areas were monitored today, including but not limited to 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-eight (98) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Community Action Opportunities, is current/active as of 3/9/26. Permit type – five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 2/10/26. The last lockdown drill was practiced on 3/5/26. The last playground inspection was documented on 3/2/26. The last fire inspection was approved on 2/12/26. The last sanitation inspection was conducted on 9/4/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint and asbestos testing was completed on 4/24/25. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS). Upon arrival, I announced my presence and the purpose of the visit. Thirteen (13) children from space #2, three-to-five years of age, played on the playground. Children rode tricycles, a portable slide, riding cars, a tunnel, bouncy balls, scooters, and dirt. Two (2) staff members were present – one (1) teacher and one (1) floater. The lead teacher returned to the playground at 9:28 am and took a child inside to use the bathroom. The group of children washed their hands upon returning to the classroom and engaged in free play. Duplo blocks, magnetic tiles, dress-up clothes, housekeeping materials, water table and other materials were used by the children. Staff members were spread apart in the classroom and each engaged with children. In space #1, a group of twelve (12) students, three-to-five years of age, also participated in free play. The lead teacher facilitated a small group activity, and the children planted seeds in the planters. The lesson plans in both classrooms included study/activities of pants and garden. In space #1, drawing of a plant explaining the parts, pictures of happy plants/not happy plans, ground animals, and books related to plants were present. In space #2, drawings of plants and plant parts were on the whiteboard, and children’s painting of plants were posted. Activities listed on the lesson plan – examination of seeds were not conducted during today’s visit. During group time, the lead teacher facilitated the discussion on plants. One (1) emergency medication was maintained in space #1. Storage of the medication was appropriate. The action plan was dated 9/5/25 and the permission form was dated 9/29/25. No hazardous products were accessible to children. Four (4) children’s files were monitored including two (2) NC Pre-K children’s files. Staff and Training Worksheet was submitted by Ms. McLeod during the visit. The playground was monitored. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. Additionally, portions of the fence measured between forty-four (44) and forty-five (45) inches in height. A garden box was located adjacent to the fence. Due to the garden box being positioned directly next to the fence, the effective height of the fence in that area was approximately thirty-eight (38) inches. The program had added a safety mesh net on top of the fence to increase the height; however, mesh netting is not considered a sturdy material and does not meet the required standards for fencing. Crispy chicken sandwiches, seasoned broccoli, sliced peaches and milk were served for lunch, and items were accurately listed on the menu. Supervision and interaction were adequate. Rated License Assessment: Mc. McLeod submitted the application for the Rated License Assessment in-person on February 18, 2026. Rest to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License and staff/child ratio sheet was submitted via email on 12/22/25. Head Start Grantee status was verified on March 9, 2025. Pathway-3 Accreditation Head Start Star Level Assessment form was signed by Ms. McLeod during today’s visit. During today’s visit, staff/child ratios of 1:9 were maintained, and the appropriate staff/child ratio forms were posted in both classrooms. 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 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. Ms. McLeod completed the monitoring tool on 10/30/25, and on-site visit was conducted by NC Pre-K Program Coordinator on 12/15/25. Two (2) children’s files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One (1) staff member did not wash hands upon returning from outside in space #2. 15A NCAC 18A .2803(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Safety mesh was added to the part of the fence by the garden box to make up the height of the fence. The Mesh is not sturdy material to meet the purpose of the fence. .0601(c) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar and the portions of the fence measured between forty-four (44) and forty-five (45) inches in height. GS 110-91(6); .0605((i) Technical assistance was provided as follows: 609: Staff handwashing Staff members must wash their hands on following occasions per 15A NCAC 18A .2803 HANDWASHING: (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. To comply, staff members must review the handwashing requirements. In your compliance letter, please verify the review of the requirements. 705: Equipment Equipment must be sturdy and free of hazards. To comply, the safety mesh on the fence above the garden box must be removed and replaced with more sturdy material. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 714: Entrapment Openings in equipment, steps, decks, handrails, and fencing must be less than 3 1/2” or greater than 9”. To comply, the gaps between the fence and the top bar must be closed. Additionally, you must make sure that protrusions or sharp metals are not accessible to the children by correcting the bent fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 824: Fence height Fence must be minimum of forty-eight inches: To comply, additional materials must be added to the top of the fence to achieve the required height. The materials must be sturdy, durable, and function as part of the fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 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 3/25/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: • Criminal background qualification letter will expire for B. Repass on 3/15/26. Please renew the letter promptly. • Epi-pen in space #1 will expire at the end of this month (March 2026). Expired medications must be returned to the parents or discarded within seventy-two (72) hours of expiration date. Staff Breaks: During today’s visit, the lead teacher in Space #2 was observed leaving the classroom four (4) times. Each absence lasted between five (5) and fifteen (15) minutes, and the staff was observed leaving the licensed premises. The reason for each absence was unknown at the time of observation. Programs must ensure staff members remain present and able to meet the needs of children in care and follow program procedures and applicable regulations. Based on verification of requirements in the Head Start Accreditation pathway, .3205 section of the child care rules, a five-star license will be earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 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

10A NCAC 09 .3222 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 25 Completed Date: 3/11/2026 Age: From 3 To 5 Total Minutes: 224 Time In: 09:16 AM Time Out: 01:00 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 Rated License Assessment visit. Because six (6) months have passed since the last annual compliance visit and the submission of the Rated License Assessment application, today’s visit was determined to be an annual compliance visit with the Rated License Assessment. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. McLeod was available during the visit to assist. The indoor and outdoor areas were monitored today, including but not limited to 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-eight (98) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Community Action Opportunities, is current/active as of 3/9/26. Permit type – five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 2/10/26. The last lockdown drill was practiced on 3/5/26. The last playground inspection was documented on 3/2/26. The last fire inspection was approved on 2/12/26. The last sanitation inspection was conducted on 9/4/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint and asbestos testing was completed on 4/24/25. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS). Upon arrival, I announced my presence and the purpose of the visit. Thirteen (13) children from space #2, three-to-five years of age, played on the playground. Children rode tricycles, a portable slide, riding cars, a tunnel, bouncy balls, scooters, and dirt. Two (2) staff members were present – one (1) teacher and one (1) floater. The lead teacher returned to the playground at 9:28 am and took a child inside to use the bathroom. The group of children washed their hands upon returning to the classroom and engaged in free play. Duplo blocks, magnetic tiles, dress-up clothes, housekeeping materials, water table and other materials were used by the children. Staff members were spread apart in the classroom and each engaged with children. In space #1, a group of twelve (12) students, three-to-five years of age, also participated in free play. The lead teacher facilitated a small group activity, and the children planted seeds in the planters. The lesson plans in both classrooms included study/activities of pants and garden. In space #1, drawing of a plant explaining the parts, pictures of happy plants/not happy plans, ground animals, and books related to plants were present. In space #2, drawings of plants and plant parts were on the whiteboard, and children’s painting of plants were posted. Activities listed on the lesson plan – examination of seeds were not conducted during today’s visit. During group time, the lead teacher facilitated the discussion on plants. One (1) emergency medication was maintained in space #1. Storage of the medication was appropriate. The action plan was dated 9/5/25 and the permission form was dated 9/29/25. No hazardous products were accessible to children. Four (4) children’s files were monitored including two (2) NC Pre-K children’s files. Staff and Training Worksheet was submitted by Ms. McLeod during the visit. The playground was monitored. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. Additionally, portions of the fence measured between forty-four (44) and forty-five (45) inches in height. A garden box was located adjacent to the fence. Due to the garden box being positioned directly next to the fence, the effective height of the fence in that area was approximately thirty-eight (38) inches. The program had added a safety mesh net on top of the fence to increase the height; however, mesh netting is not considered a sturdy material and does not meet the required standards for fencing. Crispy chicken sandwiches, seasoned broccoli, sliced peaches and milk were served for lunch, and items were accurately listed on the menu. Supervision and interaction were adequate. Rated License Assessment: Mc. McLeod submitted the application for the Rated License Assessment in-person on February 18, 2026. Rest to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License and staff/child ratio sheet was submitted via email on 12/22/25. Head Start Grantee status was verified on March 9, 2025. Pathway-3 Accreditation Head Start Star Level Assessment form was signed by Ms. McLeod during today’s visit. During today’s visit, staff/child ratios of 1:9 were maintained, and the appropriate staff/child ratio forms were posted in both classrooms. 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 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. Ms. McLeod completed the monitoring tool on 10/30/25, and on-site visit was conducted by NC Pre-K Program Coordinator on 12/15/25. Two (2) children’s files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One (1) staff member did not wash hands upon returning from outside in space #2. 15A NCAC 18A .2803(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Safety mesh was added to the part of the fence by the garden box to make up the height of the fence. The Mesh is not sturdy material to meet the purpose of the fence. .0601(c) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar and the portions of the fence measured between forty-four (44) and forty-five (45) inches in height. GS 110-91(6); .0605((i) Technical assistance was provided as follows: 609: Staff handwashing Staff members must wash their hands on following occasions per 15A NCAC 18A .2803 HANDWASHING: (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. To comply, staff members must review the handwashing requirements. In your compliance letter, please verify the review of the requirements. 705: Equipment Equipment must be sturdy and free of hazards. To comply, the safety mesh on the fence above the garden box must be removed and replaced with more sturdy material. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 714: Entrapment Openings in equipment, steps, decks, handrails, and fencing must be less than 3 1/2” or greater than 9”. To comply, the gaps between the fence and the top bar must be closed. Additionally, you must make sure that protrusions or sharp metals are not accessible to the children by correcting the bent fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 824: Fence height Fence must be minimum of forty-eight inches: To comply, additional materials must be added to the top of the fence to achieve the required height. The materials must be sturdy, durable, and function as part of the fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 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 3/25/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: • Criminal background qualification letter will expire for B. Repass on 3/15/26. Please renew the letter promptly. • Epi-pen in space #1 will expire at the end of this month (March 2026). Expired medications must be returned to the parents or discarded within seventy-two (72) hours of expiration date. Staff Breaks: During today’s visit, the lead teacher in Space #2 was observed leaving the classroom four (4) times. Each absence lasted between five (5) and fifteen (15) minutes, and the staff was observed leaving the licensed premises. The reason for each absence was unknown at the time of observation. Programs must ensure staff members remain present and able to meet the needs of children in care and follow program procedures and applicable regulations. Based on verification of requirements in the Head Start Accreditation pathway, .3205 section of the child care rules, a five-star license will be earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 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

GS 110-91 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 25 Completed Date: 3/11/2026 Age: From 3 To 5 Total Minutes: 224 Time In: 09:16 AM Time Out: 01:00 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 Rated License Assessment visit. Because six (6) months have passed since the last annual compliance visit and the submission of the Rated License Assessment application, today’s visit was determined to be an annual compliance visit with the Rated License Assessment. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. McLeod was available during the visit to assist. The indoor and outdoor areas were monitored today, including but not limited to 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-eight (98) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Community Action Opportunities, is current/active as of 3/9/26. Permit type – five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 2/10/26. The last lockdown drill was practiced on 3/5/26. The last playground inspection was documented on 3/2/26. The last fire inspection was approved on 2/12/26. The last sanitation inspection was conducted on 9/4/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint and asbestos testing was completed on 4/24/25. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS). Upon arrival, I announced my presence and the purpose of the visit. Thirteen (13) children from space #2, three-to-five years of age, played on the playground. Children rode tricycles, a portable slide, riding cars, a tunnel, bouncy balls, scooters, and dirt. Two (2) staff members were present – one (1) teacher and one (1) floater. The lead teacher returned to the playground at 9:28 am and took a child inside to use the bathroom. The group of children washed their hands upon returning to the classroom and engaged in free play. Duplo blocks, magnetic tiles, dress-up clothes, housekeeping materials, water table and other materials were used by the children. Staff members were spread apart in the classroom and each engaged with children. In space #1, a group of twelve (12) students, three-to-five years of age, also participated in free play. The lead teacher facilitated a small group activity, and the children planted seeds in the planters. The lesson plans in both classrooms included study/activities of pants and garden. In space #1, drawing of a plant explaining the parts, pictures of happy plants/not happy plans, ground animals, and books related to plants were present. In space #2, drawings of plants and plant parts were on the whiteboard, and children’s painting of plants were posted. Activities listed on the lesson plan – examination of seeds were not conducted during today’s visit. During group time, the lead teacher facilitated the discussion on plants. One (1) emergency medication was maintained in space #1. Storage of the medication was appropriate. The action plan was dated 9/5/25 and the permission form was dated 9/29/25. No hazardous products were accessible to children. Four (4) children’s files were monitored including two (2) NC Pre-K children’s files. Staff and Training Worksheet was submitted by Ms. McLeod during the visit. The playground was monitored. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. Additionally, portions of the fence measured between forty-four (44) and forty-five (45) inches in height. A garden box was located adjacent to the fence. Due to the garden box being positioned directly next to the fence, the effective height of the fence in that area was approximately thirty-eight (38) inches. The program had added a safety mesh net on top of the fence to increase the height; however, mesh netting is not considered a sturdy material and does not meet the required standards for fencing. Crispy chicken sandwiches, seasoned broccoli, sliced peaches and milk were served for lunch, and items were accurately listed on the menu. Supervision and interaction were adequate. Rated License Assessment: Mc. McLeod submitted the application for the Rated License Assessment in-person on February 18, 2026. Rest to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License and staff/child ratio sheet was submitted via email on 12/22/25. Head Start Grantee status was verified on March 9, 2025. Pathway-3 Accreditation Head Start Star Level Assessment form was signed by Ms. McLeod during today’s visit. During today’s visit, staff/child ratios of 1:9 were maintained, and the appropriate staff/child ratio forms were posted in both classrooms. 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 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. Ms. McLeod completed the monitoring tool on 10/30/25, and on-site visit was conducted by NC Pre-K Program Coordinator on 12/15/25. Two (2) children’s files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One (1) staff member did not wash hands upon returning from outside in space #2. 15A NCAC 18A .2803(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Safety mesh was added to the part of the fence by the garden box to make up the height of the fence. The Mesh is not sturdy material to meet the purpose of the fence. .0601(c) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar and the portions of the fence measured between forty-four (44) and forty-five (45) inches in height. GS 110-91(6); .0605((i) Technical assistance was provided as follows: 609: Staff handwashing Staff members must wash their hands on following occasions per 15A NCAC 18A .2803 HANDWASHING: (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. To comply, staff members must review the handwashing requirements. In your compliance letter, please verify the review of the requirements. 705: Equipment Equipment must be sturdy and free of hazards. To comply, the safety mesh on the fence above the garden box must be removed and replaced with more sturdy material. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 714: Entrapment Openings in equipment, steps, decks, handrails, and fencing must be less than 3 1/2” or greater than 9”. To comply, the gaps between the fence and the top bar must be closed. Additionally, you must make sure that protrusions or sharp metals are not accessible to the children by correcting the bent fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 824: Fence height Fence must be minimum of forty-eight inches: To comply, additional materials must be added to the top of the fence to achieve the required height. The materials must be sturdy, durable, and function as part of the fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 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 3/25/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: • Criminal background qualification letter will expire for B. Repass on 3/15/26. Please renew the letter promptly. • Epi-pen in space #1 will expire at the end of this month (March 2026). Expired medications must be returned to the parents or discarded within seventy-two (72) hours of expiration date. Staff Breaks: During today’s visit, the lead teacher in Space #2 was observed leaving the classroom four (4) times. Each absence lasted between five (5) and fifteen (15) minutes, and the staff was observed leaving the licensed premises. The reason for each absence was unknown at the time of observation. Programs must ensure staff members remain present and able to meet the needs of children in care and follow program procedures and applicable regulations. Based on verification of requirements in the Head Start Accreditation pathway, .3205 section of the child care rules, a five-star license will be earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 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: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/11/2026 Number Present: 25 Completed Date: 3/11/2026 Age: From 3 To 5 Total Minutes: 224 Time In: 09:16 AM Time Out: 01:00 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 Rated License Assessment visit. Because six (6) months have passed since the last annual compliance visit and the submission of the Rated License Assessment application, today’s visit was determined to be an annual compliance visit with the Rated License Assessment. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Ms. McLeod was available during the visit to assist. The indoor and outdoor areas were monitored today, including but not limited to 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-eight (98) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Community Action Opportunities, is current/active as of 3/9/26. Permit type – five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 2/10/26. The last lockdown drill was practiced on 3/5/26. The last playground inspection was documented on 3/2/26. The last fire inspection was approved on 2/12/26. The last sanitation inspection was conducted on 9/4/25 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint and asbestos testing was completed on 4/24/25. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS). Upon arrival, I announced my presence and the purpose of the visit. Thirteen (13) children from space #2, three-to-five years of age, played on the playground. Children rode tricycles, a portable slide, riding cars, a tunnel, bouncy balls, scooters, and dirt. Two (2) staff members were present – one (1) teacher and one (1) floater. The lead teacher returned to the playground at 9:28 am and took a child inside to use the bathroom. The group of children washed their hands upon returning to the classroom and engaged in free play. Duplo blocks, magnetic tiles, dress-up clothes, housekeeping materials, water table and other materials were used by the children. Staff members were spread apart in the classroom and each engaged with children. In space #1, a group of twelve (12) students, three-to-five years of age, also participated in free play. The lead teacher facilitated a small group activity, and the children planted seeds in the planters. The lesson plans in both classrooms included study/activities of pants and garden. In space #1, drawing of a plant explaining the parts, pictures of happy plants/not happy plans, ground animals, and books related to plants were present. In space #2, drawings of plants and plant parts were on the whiteboard, and children’s painting of plants were posted. Activities listed on the lesson plan – examination of seeds were not conducted during today’s visit. During group time, the lead teacher facilitated the discussion on plants. One (1) emergency medication was maintained in space #1. Storage of the medication was appropriate. The action plan was dated 9/5/25 and the permission form was dated 9/29/25. No hazardous products were accessible to children. Four (4) children’s files were monitored including two (2) NC Pre-K children’s files. Staff and Training Worksheet was submitted by Ms. McLeod during the visit. The playground was monitored. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. Additionally, portions of the fence measured between forty-four (44) and forty-five (45) inches in height. A garden box was located adjacent to the fence. Due to the garden box being positioned directly next to the fence, the effective height of the fence in that area was approximately thirty-eight (38) inches. The program had added a safety mesh net on top of the fence to increase the height; however, mesh netting is not considered a sturdy material and does not meet the required standards for fencing. Crispy chicken sandwiches, seasoned broccoli, sliced peaches and milk were served for lunch, and items were accurately listed on the menu. Supervision and interaction were adequate. Rated License Assessment: Mc. McLeod submitted the application for the Rated License Assessment in-person on February 18, 2026. Rest to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License and staff/child ratio sheet was submitted via email on 12/22/25. Head Start Grantee status was verified on March 9, 2025. Pathway-3 Accreditation Head Start Star Level Assessment form was signed by Ms. McLeod during today’s visit. During today’s visit, staff/child ratios of 1:9 were maintained, and the appropriate staff/child ratio forms were posted in both classrooms. 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 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. Ms. McLeod completed the monitoring tool on 10/30/25, and on-site visit was conducted by NC Pre-K Program Coordinator on 12/15/25. Two (2) children’s files were monitored today. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One (1) staff member did not wash hands upon returning from outside in space #2. 15A NCAC 18A .2803(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Safety mesh was added to the part of the fence by the garden box to make up the height of the fence. The Mesh is not sturdy material to meet the purpose of the fence. .0601(c) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar. The separation extended approximately four (4) feet, with gaps ranging from one-third (1/3) of an inch to four (4) inches. .0605(g) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. One (1) side of the fence, where pots and pans were hung, was partially separated from the top bar and the portions of the fence measured between forty-four (44) and forty-five (45) inches in height. GS 110-91(6); .0605((i) Technical assistance was provided as follows: 609: Staff handwashing Staff members must wash their hands on following occasions per 15A NCAC 18A .2803 HANDWASHING: (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. To comply, staff members must review the handwashing requirements. In your compliance letter, please verify the review of the requirements. 705: Equipment Equipment must be sturdy and free of hazards. To comply, the safety mesh on the fence above the garden box must be removed and replaced with more sturdy material. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 714: Entrapment Openings in equipment, steps, decks, handrails, and fencing must be less than 3 1/2” or greater than 9”. To comply, the gaps between the fence and the top bar must be closed. Additionally, you must make sure that protrusions or sharp metals are not accessible to the children by correcting the bent fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 824: Fence height Fence must be minimum of forty-eight inches: To comply, additional materials must be added to the top of the fence to achieve the required height. The materials must be sturdy, durable, and function as part of the fence. Ms. McLeod plans to submit a work order to the maintenance department to correct the fence. 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 3/25/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: • Criminal background qualification letter will expire for B. Repass on 3/15/26. Please renew the letter promptly. • Epi-pen in space #1 will expire at the end of this month (March 2026). Expired medications must be returned to the parents or discarded within seventy-two (72) hours of expiration date. Staff Breaks: During today’s visit, the lead teacher in Space #2 was observed leaving the classroom four (4) times. Each absence lasted between five (5) and fifteen (15) minutes, and the staff was observed leaving the licensed premises. The reason for each absence was unknown at the time of observation. Programs must ensure staff members remain present and able to meet the needs of children in care and follow program procedures and applicable regulations. Based on verification of requirements in the Head Start Accreditation pathway, .3205 section of the child care rules, a five-star license will be earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years, and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 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

10A NCAC 09 .0304 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 23 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during the routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Alanna Lavoie, Lead Teacher, during the visit. A copy of the visit summary was printed and left online and an electronic signed copy of the visit summary was electronically emailed to Monica McLeod, Administrator. Ms. Lavoie was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – Five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/17/24. The last fire drill was practiced on 1/24/25. The last shelter-in-place drill and lockdown drill was practiced on 12/20/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/12/24 with two (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, eleven (11) children, three-to-five years of age were present. The children engaged in free play with water, brush paint, sand, playdough, tablet and other materials. Teachers were actively engaged with the children. There was evidence of 3-D art displayed. One (1) emergency medication is maintained in the classroom. The action plan, medication authorization form, storage was in compliance with the regulations. In space #2, a group of twelve (12) children, three-to-five years of age, played on the playground with tricycles, balls, a slide, blocks, pretend kitchen. The teachers were actively engaged with the children. No medications are maintained in this classroom. The playground was inspected. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Lunch was brought in at 10:55 am. Prior to serving children, menu was corrected to match what were served. Today, chicken and waffle, buttered corn, sliced apples and milk were served to the children for lunch. Interaction and supervision were adequate. Five (5) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. All existing staff members have current criminal background letters and CPR/First Aid certificates. One (1) new staff file was monitored in full. Staff and Training Worksheet was not submitted. The staff member was employed on 12/16/24. Application, orientation documentation, criminal background letter, medical statement, TB screening, emergency information form, health questionnaire, shaken baby policy review, Recognizing and Responding to Suspicions of Child Maltreatment certificate, operational/personnel policy review were in file. Health and Safety training has not been completed. 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/ This program does not transport children currently. All vehicles for Community Action Opportunities were inspected on 6/5/24. 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 Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:00 a.m. to 2:30 p.m. Both space #1 and #2 are NC Pre-K classrooms. The following violations were documented during today’s visit: Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. J. Hankley's date of employment is 12/16/24. The person's emergency information form was data 12/17/24. .0701(a) Technical assistance was provided as follows: 1035: Emergency Information Form Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information forms shall be filled out on or before the first day of employment. 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 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Due to the effects of tropical storm Helene, additional time was permitted to meet the requirements for the following items. 824: Fence height The outdoor play area must be enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, must be free from protrusions. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Remove debris and leaves built up on the ground or add additional height on the fence by adding toppers, board or other materials. Remove garden boarders next to the fence. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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. 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 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

10A NCAC 09 .1102 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 23 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during the routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Alanna Lavoie, Lead Teacher, during the visit. A copy of the visit summary was printed and left online and an electronic signed copy of the visit summary was electronically emailed to Monica McLeod, Administrator. Ms. Lavoie was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – Five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/17/24. The last fire drill was practiced on 1/24/25. The last shelter-in-place drill and lockdown drill was practiced on 12/20/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/12/24 with two (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, eleven (11) children, three-to-five years of age were present. The children engaged in free play with water, brush paint, sand, playdough, tablet and other materials. Teachers were actively engaged with the children. There was evidence of 3-D art displayed. One (1) emergency medication is maintained in the classroom. The action plan, medication authorization form, storage was in compliance with the regulations. In space #2, a group of twelve (12) children, three-to-five years of age, played on the playground with tricycles, balls, a slide, blocks, pretend kitchen. The teachers were actively engaged with the children. No medications are maintained in this classroom. The playground was inspected. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Lunch was brought in at 10:55 am. Prior to serving children, menu was corrected to match what were served. Today, chicken and waffle, buttered corn, sliced apples and milk were served to the children for lunch. Interaction and supervision were adequate. Five (5) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. All existing staff members have current criminal background letters and CPR/First Aid certificates. One (1) new staff file was monitored in full. Staff and Training Worksheet was not submitted. The staff member was employed on 12/16/24. Application, orientation documentation, criminal background letter, medical statement, TB screening, emergency information form, health questionnaire, shaken baby policy review, Recognizing and Responding to Suspicions of Child Maltreatment certificate, operational/personnel policy review were in file. Health and Safety training has not been completed. 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/ This program does not transport children currently. All vehicles for Community Action Opportunities were inspected on 6/5/24. 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 Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:00 a.m. to 2:30 p.m. Both space #1 and #2 are NC Pre-K classrooms. The following violations were documented during today’s visit: Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. J. Hankley's date of employment is 12/16/24. The person's emergency information form was data 12/17/24. .0701(a) Technical assistance was provided as follows: 1035: Emergency Information Form Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information forms shall be filled out on or before the first day of employment. 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 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Due to the effects of tropical storm Helene, additional time was permitted to meet the requirements for the following items. 824: Fence height The outdoor play area must be enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, must be free from protrusions. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Remove debris and leaves built up on the ground or add additional height on the fence by adding toppers, board or other materials. Remove garden boarders next to the fence. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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. 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 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

10A NCAC 09 .1703 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 23 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during the routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Alanna Lavoie, Lead Teacher, during the visit. A copy of the visit summary was printed and left online and an electronic signed copy of the visit summary was electronically emailed to Monica McLeod, Administrator. Ms. Lavoie was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – Five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/17/24. The last fire drill was practiced on 1/24/25. The last shelter-in-place drill and lockdown drill was practiced on 12/20/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/12/24 with two (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, eleven (11) children, three-to-five years of age were present. The children engaged in free play with water, brush paint, sand, playdough, tablet and other materials. Teachers were actively engaged with the children. There was evidence of 3-D art displayed. One (1) emergency medication is maintained in the classroom. The action plan, medication authorization form, storage was in compliance with the regulations. In space #2, a group of twelve (12) children, three-to-five years of age, played on the playground with tricycles, balls, a slide, blocks, pretend kitchen. The teachers were actively engaged with the children. No medications are maintained in this classroom. The playground was inspected. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Lunch was brought in at 10:55 am. Prior to serving children, menu was corrected to match what were served. Today, chicken and waffle, buttered corn, sliced apples and milk were served to the children for lunch. Interaction and supervision were adequate. Five (5) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. All existing staff members have current criminal background letters and CPR/First Aid certificates. One (1) new staff file was monitored in full. Staff and Training Worksheet was not submitted. The staff member was employed on 12/16/24. Application, orientation documentation, criminal background letter, medical statement, TB screening, emergency information form, health questionnaire, shaken baby policy review, Recognizing and Responding to Suspicions of Child Maltreatment certificate, operational/personnel policy review were in file. Health and Safety training has not been completed. 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/ This program does not transport children currently. All vehicles for Community Action Opportunities were inspected on 6/5/24. 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 Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:00 a.m. to 2:30 p.m. Both space #1 and #2 are NC Pre-K classrooms. The following violations were documented during today’s visit: Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. J. Hankley's date of employment is 12/16/24. The person's emergency information form was data 12/17/24. .0701(a) Technical assistance was provided as follows: 1035: Emergency Information Form Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information forms shall be filled out on or before the first day of employment. 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 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Due to the effects of tropical storm Helene, additional time was permitted to meet the requirements for the following items. 824: Fence height The outdoor play area must be enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, must be free from protrusions. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Remove debris and leaves built up on the ground or add additional height on the fence by adding toppers, board or other materials. Remove garden boarders next to the fence. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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. 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 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

10A NCAC 09 .2830 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 23 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during the routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Alanna Lavoie, Lead Teacher, during the visit. A copy of the visit summary was printed and left online and an electronic signed copy of the visit summary was electronically emailed to Monica McLeod, Administrator. Ms. Lavoie was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – Five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/17/24. The last fire drill was practiced on 1/24/25. The last shelter-in-place drill and lockdown drill was practiced on 12/20/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/12/24 with two (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, eleven (11) children, three-to-five years of age were present. The children engaged in free play with water, brush paint, sand, playdough, tablet and other materials. Teachers were actively engaged with the children. There was evidence of 3-D art displayed. One (1) emergency medication is maintained in the classroom. The action plan, medication authorization form, storage was in compliance with the regulations. In space #2, a group of twelve (12) children, three-to-five years of age, played on the playground with tricycles, balls, a slide, blocks, pretend kitchen. The teachers were actively engaged with the children. No medications are maintained in this classroom. The playground was inspected. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Lunch was brought in at 10:55 am. Prior to serving children, menu was corrected to match what were served. Today, chicken and waffle, buttered corn, sliced apples and milk were served to the children for lunch. Interaction and supervision were adequate. Five (5) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. All existing staff members have current criminal background letters and CPR/First Aid certificates. One (1) new staff file was monitored in full. Staff and Training Worksheet was not submitted. The staff member was employed on 12/16/24. Application, orientation documentation, criminal background letter, medical statement, TB screening, emergency information form, health questionnaire, shaken baby policy review, Recognizing and Responding to Suspicions of Child Maltreatment certificate, operational/personnel policy review were in file. Health and Safety training has not been completed. 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/ This program does not transport children currently. All vehicles for Community Action Opportunities were inspected on 6/5/24. 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 Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:00 a.m. to 2:30 p.m. Both space #1 and #2 are NC Pre-K classrooms. The following violations were documented during today’s visit: Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. J. Hankley's date of employment is 12/16/24. The person's emergency information form was data 12/17/24. .0701(a) Technical assistance was provided as follows: 1035: Emergency Information Form Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information forms shall be filled out on or before the first day of employment. 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 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Due to the effects of tropical storm Helene, additional time was permitted to meet the requirements for the following items. 824: Fence height The outdoor play area must be enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, must be free from protrusions. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Remove debris and leaves built up on the ground or add additional height on the fence by adding toppers, board or other materials. Remove garden boarders next to the fence. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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. 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 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: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 23 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during the routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Alanna Lavoie, Lead Teacher, during the visit. A copy of the visit summary was printed and left online and an electronic signed copy of the visit summary was electronically emailed to Monica McLeod, Administrator. Ms. Lavoie was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – Five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/17/24. The last fire drill was practiced on 1/24/25. The last shelter-in-place drill and lockdown drill was practiced on 12/20/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/12/24 with two (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, eleven (11) children, three-to-five years of age were present. The children engaged in free play with water, brush paint, sand, playdough, tablet and other materials. Teachers were actively engaged with the children. There was evidence of 3-D art displayed. One (1) emergency medication is maintained in the classroom. The action plan, medication authorization form, storage was in compliance with the regulations. In space #2, a group of twelve (12) children, three-to-five years of age, played on the playground with tricycles, balls, a slide, blocks, pretend kitchen. The teachers were actively engaged with the children. No medications are maintained in this classroom. The playground was inspected. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Lunch was brought in at 10:55 am. Prior to serving children, menu was corrected to match what were served. Today, chicken and waffle, buttered corn, sliced apples and milk were served to the children for lunch. Interaction and supervision were adequate. Five (5) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. All existing staff members have current criminal background letters and CPR/First Aid certificates. One (1) new staff file was monitored in full. Staff and Training Worksheet was not submitted. The staff member was employed on 12/16/24. Application, orientation documentation, criminal background letter, medical statement, TB screening, emergency information form, health questionnaire, shaken baby policy review, Recognizing and Responding to Suspicions of Child Maltreatment certificate, operational/personnel policy review were in file. Health and Safety training has not been completed. 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/ This program does not transport children currently. All vehicles for Community Action Opportunities were inspected on 6/5/24. 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 Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:00 a.m. to 2:30 p.m. Both space #1 and #2 are NC Pre-K classrooms. The following violations were documented during today’s visit: Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. J. Hankley's date of employment is 12/16/24. The person's emergency information form was data 12/17/24. .0701(a) Technical assistance was provided as follows: 1035: Emergency Information Form Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information forms shall be filled out on or before the first day of employment. 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 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Due to the effects of tropical storm Helene, additional time was permitted to meet the requirements for the following items. 824: Fence height The outdoor play area must be enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, must be free from protrusions. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Remove debris and leaves built up on the ground or add additional height on the fence by adding toppers, board or other materials. Remove garden boarders next to the fence. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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. 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 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: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/24/2025 Number Present: 23 Completed Date: 2/24/2025 Age: From 3 To 5 Total Minutes: 150 Time In: 09:15 AM Time Out: 11:45 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during the routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Alanna Lavoie, Lead Teacher, during the visit. A copy of the visit summary was printed and left online and an electronic signed copy of the visit summary was electronically emailed to Monica McLeod, Administrator. Ms. Lavoie was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – Five-star center license issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/17/24. The last fire drill was practiced on 1/24/25. The last shelter-in-place drill and lockdown drill was practiced on 12/20/24. The last playground inspection was documented on 2/5/25. The last fire inspection was approved on 2/10/25. The last sanitation inspection was conducted on 9/12/24 with two (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, eleven (11) children, three-to-five years of age were present. The children engaged in free play with water, brush paint, sand, playdough, tablet and other materials. Teachers were actively engaged with the children. There was evidence of 3-D art displayed. One (1) emergency medication is maintained in the classroom. The action plan, medication authorization form, storage was in compliance with the regulations. In space #2, a group of twelve (12) children, three-to-five years of age, played on the playground with tricycles, balls, a slide, blocks, pretend kitchen. The teachers were actively engaged with the children. No medications are maintained in this classroom. The playground was inspected. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Lunch was brought in at 10:55 am. Prior to serving children, menu was corrected to match what were served. Today, chicken and waffle, buttered corn, sliced apples and milk were served to the children for lunch. Interaction and supervision were adequate. Five (5) existing staff files were monitored partially for criminal background letters and CPR/First Aid certificates. All existing staff members have current criminal background letters and CPR/First Aid certificates. One (1) new staff file was monitored in full. Staff and Training Worksheet was not submitted. The staff member was employed on 12/16/24. Application, orientation documentation, criminal background letter, medical statement, TB screening, emergency information form, health questionnaire, shaken baby policy review, Recognizing and Responding to Suspicions of Child Maltreatment certificate, operational/personnel policy review were in file. Health and Safety training has not been completed. 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/ This program does not transport children currently. All vehicles for Community Action Opportunities were inspected on 6/5/24. 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 Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:00 a.m. to 2:30 p.m. Both space #1 and #2 are NC Pre-K classrooms. The following violations were documented during today’s visit: Violation Number Comment Rule 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. J. Hankley's date of employment is 12/16/24. The person's emergency information form was data 12/17/24. .0701(a) Technical assistance was provided as follows: 1035: Emergency Information Form Child care providers, including the director, uncompensated providers, substitute providers, and volunteers shall have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Emergency information forms shall be filled out on or before the first day of employment. 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 3/10/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Due to the effects of tropical storm Helene, additional time was permitted to meet the requirements for the following items. 824: Fence height The outdoor play area must be enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, must be free from protrusions. The side of the fence where the pots and pans are hung up, were measured for forty-six (46) inches high. Additionally, a garden box is placed two-to-five inches away from the fence. Due to the height of the garden box, some parts of the fence were measured for thirty-eight (38) inches from the top of the garden box border to the top of the fence. Remove debris and leaves built up on the ground or add additional height on the fence by adding toppers, board or other materials. Remove garden boarders next to the fence. Consultation is provided as follows: Reminder: Please conduct a shelter-in-place or a lockdown drill this month. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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. 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 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

10A NCAC 09 .0304 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 23 Completed Date: 9/17/2024 Age: From 3 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. McLeod accompanied me. The indoor and outdoor areas were monitored today, including but not limited to 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 (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/13/24. Permit type – Five-star License issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/27/23. The last fire drill was practiced on 8/29/24 The last lockdown drill was practiced on 8/29/24. The last playground inspection was documented on 9/13/24. The last fire inspection was approved on 1/30/24. The Fire Marshall was contacted by the program and the staff members are expecting the visit sometime soon. The last sanitation inspection was conducted on 9/12/24 with two (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1 a group of three-to-five-year-old children engaged in free play with various materials including water table, sand table, housekeeping, music instruments, brush paint and others. Due to the inclement weather, the children went to walk instead of going to the playground. No medications are maintained in the classroom. In space #2, the children engaged in the dance activities for approximately thirty (30) minutes. The children, three-to-four years of age, transitioned to free play. The children played with playdough, magnetic toys, train tracks, scissors art materials, etc. No medications are maintained in the classroom. There were several other personnels present including therapists from the Buncombe Schools and Health Services Assistant conducting the visit screening. Two (2) new staff files and one (1) existing staff file were monitored. Three (3) children’s files were monitored. A quick walk-through of the playground was conducted during the visit due to inclement weather. No hazards were found. Lunch was served during today’s visit. The children had mac and cheese, cole slaw, slices oranges 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 program does provide transportation. No children use the service currently. The transportations were monitored on 6/5/24. 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 tool not being completed yet due to the tool not being completed yet. No children files were monitored today. The list of children funded by NC Pre-K has not been finalized yet. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon arrival until 9:30 am, the children in space #1 engaged in dance activities. During the activity, the video of the dance was played on the tablet was visible to the children. The screen time log was not used by the staff member. .0510(d)(2)(A-C) Technical assistance was provided as follows: Item#524 Screen time: Upon arrival until 9:30 am, the children engaged in dance activities. During the dance time, the video of the dance video was playing on the tablet facing the children. The maximum screen time is up to thirty (30) minutes per day and no longer than two and a half (1 ½) hours each week. I recommend placing the tablet’s back to the children. Achieving compliance Due to all the violations being corrected during the visit, letter of compliance is not required to be submitted. Consultation is provided as follows: We discussed behavioral challenges in the classroom. There are multiple children who may need further consultation with medical professional and/or developmental specialists. Even though the teachers are accommodating the children's needs well, extra personnel to help in the classroom is advised. For resources, please contact Davina Weirich, Phone: (828) 277-1315 Email: davina@firstwnc.org www.firstwnc.org and/or Saron Fitzgerald, Healthy Behaviors Coach at Southwestern Child Development Commission at fitzgerald.sharon@swcdcinc.org (828)354-0367. 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. 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 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

10A NCAC 09 .1102 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 23 Completed Date: 9/17/2024 Age: From 3 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. McLeod accompanied me. The indoor and outdoor areas were monitored today, including but not limited to 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 (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/13/24. Permit type – Five-star License issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/27/23. The last fire drill was practiced on 8/29/24 The last lockdown drill was practiced on 8/29/24. The last playground inspection was documented on 9/13/24. The last fire inspection was approved on 1/30/24. The Fire Marshall was contacted by the program and the staff members are expecting the visit sometime soon. The last sanitation inspection was conducted on 9/12/24 with two (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1 a group of three-to-five-year-old children engaged in free play with various materials including water table, sand table, housekeeping, music instruments, brush paint and others. Due to the inclement weather, the children went to walk instead of going to the playground. No medications are maintained in the classroom. In space #2, the children engaged in the dance activities for approximately thirty (30) minutes. The children, three-to-four years of age, transitioned to free play. The children played with playdough, magnetic toys, train tracks, scissors art materials, etc. No medications are maintained in the classroom. There were several other personnels present including therapists from the Buncombe Schools and Health Services Assistant conducting the visit screening. Two (2) new staff files and one (1) existing staff file were monitored. Three (3) children’s files were monitored. A quick walk-through of the playground was conducted during the visit due to inclement weather. No hazards were found. Lunch was served during today’s visit. The children had mac and cheese, cole slaw, slices oranges 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 program does provide transportation. No children use the service currently. The transportations were monitored on 6/5/24. 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 tool not being completed yet due to the tool not being completed yet. No children files were monitored today. The list of children funded by NC Pre-K has not been finalized yet. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon arrival until 9:30 am, the children in space #1 engaged in dance activities. During the activity, the video of the dance was played on the tablet was visible to the children. The screen time log was not used by the staff member. .0510(d)(2)(A-C) Technical assistance was provided as follows: Item#524 Screen time: Upon arrival until 9:30 am, the children engaged in dance activities. During the dance time, the video of the dance video was playing on the tablet facing the children. The maximum screen time is up to thirty (30) minutes per day and no longer than two and a half (1 ½) hours each week. I recommend placing the tablet’s back to the children. Achieving compliance Due to all the violations being corrected during the visit, letter of compliance is not required to be submitted. Consultation is provided as follows: We discussed behavioral challenges in the classroom. There are multiple children who may need further consultation with medical professional and/or developmental specialists. Even though the teachers are accommodating the children's needs well, extra personnel to help in the classroom is advised. For resources, please contact Davina Weirich, Phone: (828) 277-1315 Email: davina@firstwnc.org www.firstwnc.org and/or Saron Fitzgerald, Healthy Behaviors Coach at Southwestern Child Development Commission at fitzgerald.sharon@swcdcinc.org (828)354-0367. 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. 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 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

10A NCAC 09 .1703 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 23 Completed Date: 9/17/2024 Age: From 3 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. McLeod accompanied me. The indoor and outdoor areas were monitored today, including but not limited to 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 (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/13/24. Permit type – Five-star License issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/27/23. The last fire drill was practiced on 8/29/24 The last lockdown drill was practiced on 8/29/24. The last playground inspection was documented on 9/13/24. The last fire inspection was approved on 1/30/24. The Fire Marshall was contacted by the program and the staff members are expecting the visit sometime soon. The last sanitation inspection was conducted on 9/12/24 with two (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1 a group of three-to-five-year-old children engaged in free play with various materials including water table, sand table, housekeeping, music instruments, brush paint and others. Due to the inclement weather, the children went to walk instead of going to the playground. No medications are maintained in the classroom. In space #2, the children engaged in the dance activities for approximately thirty (30) minutes. The children, three-to-four years of age, transitioned to free play. The children played with playdough, magnetic toys, train tracks, scissors art materials, etc. No medications are maintained in the classroom. There were several other personnels present including therapists from the Buncombe Schools and Health Services Assistant conducting the visit screening. Two (2) new staff files and one (1) existing staff file were monitored. Three (3) children’s files were monitored. A quick walk-through of the playground was conducted during the visit due to inclement weather. No hazards were found. Lunch was served during today’s visit. The children had mac and cheese, cole slaw, slices oranges 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 program does provide transportation. No children use the service currently. The transportations were monitored on 6/5/24. 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 tool not being completed yet due to the tool not being completed yet. No children files were monitored today. The list of children funded by NC Pre-K has not been finalized yet. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon arrival until 9:30 am, the children in space #1 engaged in dance activities. During the activity, the video of the dance was played on the tablet was visible to the children. The screen time log was not used by the staff member. .0510(d)(2)(A-C) Technical assistance was provided as follows: Item#524 Screen time: Upon arrival until 9:30 am, the children engaged in dance activities. During the dance time, the video of the dance video was playing on the tablet facing the children. The maximum screen time is up to thirty (30) minutes per day and no longer than two and a half (1 ½) hours each week. I recommend placing the tablet’s back to the children. Achieving compliance Due to all the violations being corrected during the visit, letter of compliance is not required to be submitted. Consultation is provided as follows: We discussed behavioral challenges in the classroom. There are multiple children who may need further consultation with medical professional and/or developmental specialists. Even though the teachers are accommodating the children's needs well, extra personnel to help in the classroom is advised. For resources, please contact Davina Weirich, Phone: (828) 277-1315 Email: davina@firstwnc.org www.firstwnc.org and/or Saron Fitzgerald, Healthy Behaviors Coach at Southwestern Child Development Commission at fitzgerald.sharon@swcdcinc.org (828)354-0367. 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. 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 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

10A NCAC 09 .2830 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/17/2024 Number Present: 23 Completed Date: 9/17/2024 Age: From 3 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod during the visit. A signed copy of the visit summary was electronically emailed to you. Today, Ms. McLeod accompanied me. The indoor and outdoor areas were monitored today, including but not limited to 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 (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/13/24. Permit type – Five-star License issued on 1/28/20. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/27/23. The last fire drill was practiced on 8/29/24 The last lockdown drill was practiced on 8/29/24. The last playground inspection was documented on 9/13/24. The last fire inspection was approved on 1/30/24. The Fire Marshall was contacted by the program and the staff members are expecting the visit sometime soon. The last sanitation inspection was conducted on 9/12/24 with two (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1 a group of three-to-five-year-old children engaged in free play with various materials including water table, sand table, housekeeping, music instruments, brush paint and others. Due to the inclement weather, the children went to walk instead of going to the playground. No medications are maintained in the classroom. In space #2, the children engaged in the dance activities for approximately thirty (30) minutes. The children, three-to-four years of age, transitioned to free play. The children played with playdough, magnetic toys, train tracks, scissors art materials, etc. No medications are maintained in the classroom. There were several other personnels present including therapists from the Buncombe Schools and Health Services Assistant conducting the visit screening. Two (2) new staff files and one (1) existing staff file were monitored. Three (3) children’s files were monitored. A quick walk-through of the playground was conducted during the visit due to inclement weather. No hazards were found. Lunch was served during today’s visit. The children had mac and cheese, cole slaw, slices oranges 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 program does provide transportation. No children use the service currently. The transportations were monitored on 6/5/24. 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 tool not being completed yet due to the tool not being completed yet. No children files were monitored today. The list of children funded by NC Pre-K has not been finalized yet. The classroom operates from 8 a.m. to 2:30 p.m. The following violations were documented during today’s visit. Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Upon arrival until 9:30 am, the children in space #1 engaged in dance activities. During the activity, the video of the dance was played on the tablet was visible to the children. The screen time log was not used by the staff member. .0510(d)(2)(A-C) Technical assistance was provided as follows: Item#524 Screen time: Upon arrival until 9:30 am, the children engaged in dance activities. During the dance time, the video of the dance video was playing on the tablet facing the children. The maximum screen time is up to thirty (30) minutes per day and no longer than two and a half (1 ½) hours each week. I recommend placing the tablet’s back to the children. Achieving compliance Due to all the violations being corrected during the visit, letter of compliance is not required to be submitted. Consultation is provided as follows: We discussed behavioral challenges in the classroom. There are multiple children who may need further consultation with medical professional and/or developmental specialists. Even though the teachers are accommodating the children's needs well, extra personnel to help in the classroom is advised. For resources, please contact Davina Weirich, Phone: (828) 277-1315 Email: davina@firstwnc.org www.firstwnc.org and/or Saron Fitzgerald, Healthy Behaviors Coach at Southwestern Child Development Commission at fitzgerald.sharon@swcdcinc.org (828)354-0367. 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. 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 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

10A NCAC 09 .0304 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 23 Completed Date: 3/20/2024 Age: From 3 To 5 Total Minutes: 115 Time In: 10:45 AM Time Out: 12:40 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 an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 3/18/24. Permit type – Five-star Center License issued on 1/28/20. Special Services/Restrictions – Daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/27/23. The last fire drill was practiced on 3/14/24. The last shelter-in-place drill was practiced on 3/16/24. The last playground inspection was documented on 3/6/24. The last fire inspection was approved on 9/20/23. The last sanitation inspection was conducted on 9/15/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-five-year-old children engaged in free play with blocks, housekeeping materials, math/manipulative materials and other materials. After cleaning up, the children danced to the video. The video was played on the computer on the teacher’s desk. One (1) child was highly upset during the clean up time. The child knocked down materials from the shelves throughout the classroom. The child had to be taken to the playground. When the child calmed down, the child was brought back to the classroom. The teacher and the child cleaned up the toys. The children transitioned from the dance time to lunch. The teacher maintained his/her composure throughout the incident and calmly attended to the child. The screen time was provided to the children for approximately thirty (30) minutes. Two (2) emergency medications were maintained in the classroom. The action plans and the permission forms were current. The storage of the medications was appropriate. The children from space #2 played on the playground. Some children rode tricycles, and others dug dirt with shovels. One (1) child was pretending to plant a garden. In the classroom, the teacher read a story using a tablet, and the children transitioned to lunch. Today’s menu was chicken, waffle, collard green, pears and milk. The items were accurately listed on the menu. The Buncombe County School is conducting construction of the building to change the sidings and the gutters. The areas where the construction is happening are blocked with temporary dividers. Two (2) new staff files were monitored in full, and four (4) existing staff files were monitored partially. ABCMS system was monitored previously. The one (1) staff member’s record on ABCMS system was monitored during the visit. 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 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 due to it not being monitored during the last visit. The NC Pre-K monitoring tool was conducted by Ms. McLeod on 10/20/23. No children’s files were monitored during today’s visit. The classroom operates from 8 a.m. to 2:30 p.m. The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Approximately thirty (30) minutes of screen time was provided during the visit in space #2, and the screen time log was not found. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #1, two (2) cots were seventeen (17) inches apart in the center next to a large group area. In large group area, three (3) cots were places between eight (8) inches to thirteen (13) inches apart. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The twisted wires on the top of the fence adjacent to the road next to the trailer park is rusted. .0601(c) Technical assistance was provided as follows: 524: screen time log You are permitted up to thirty (30) minutes per day of screen time for educational contents and no more than two (2) and a half (1/2) hours per week. Please log the screen time daily not to exceed the limit. 10A NCAC 09 .0510 ACTIVITY AREAS (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; 614: Cots Cots in the classroom shall be placed at least eighteen (18) inches apart. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 705: Rust Rust on the fence shall be either removed by the rust remover or painted over. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety guidance: One of the children in space #2 brought the tricycle to the hill by the fence and slid down. The child also stood on the seat of the tricycle on the pavement area. The child is not wearing a helmet. The child’s action is not appropriate and cause high probability of injuries. Please supervise the children’s action and guide them with appropriate use of equipment. When the children are unable to make appropriate safety judgement, it is caretaker’s responsibilities to do so for them. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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 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 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

10A NCAC 09 .0510 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 23 Completed Date: 3/20/2024 Age: From 3 To 5 Total Minutes: 115 Time In: 10:45 AM Time Out: 12:40 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 an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 3/18/24. Permit type – Five-star Center License issued on 1/28/20. Special Services/Restrictions – Daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/27/23. The last fire drill was practiced on 3/14/24. The last shelter-in-place drill was practiced on 3/16/24. The last playground inspection was documented on 3/6/24. The last fire inspection was approved on 9/20/23. The last sanitation inspection was conducted on 9/15/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-five-year-old children engaged in free play with blocks, housekeeping materials, math/manipulative materials and other materials. After cleaning up, the children danced to the video. The video was played on the computer on the teacher’s desk. One (1) child was highly upset during the clean up time. The child knocked down materials from the shelves throughout the classroom. The child had to be taken to the playground. When the child calmed down, the child was brought back to the classroom. The teacher and the child cleaned up the toys. The children transitioned from the dance time to lunch. The teacher maintained his/her composure throughout the incident and calmly attended to the child. The screen time was provided to the children for approximately thirty (30) minutes. Two (2) emergency medications were maintained in the classroom. The action plans and the permission forms were current. The storage of the medications was appropriate. The children from space #2 played on the playground. Some children rode tricycles, and others dug dirt with shovels. One (1) child was pretending to plant a garden. In the classroom, the teacher read a story using a tablet, and the children transitioned to lunch. Today’s menu was chicken, waffle, collard green, pears and milk. The items were accurately listed on the menu. The Buncombe County School is conducting construction of the building to change the sidings and the gutters. The areas where the construction is happening are blocked with temporary dividers. Two (2) new staff files were monitored in full, and four (4) existing staff files were monitored partially. ABCMS system was monitored previously. The one (1) staff member’s record on ABCMS system was monitored during the visit. 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 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 due to it not being monitored during the last visit. The NC Pre-K monitoring tool was conducted by Ms. McLeod on 10/20/23. No children’s files were monitored during today’s visit. The classroom operates from 8 a.m. to 2:30 p.m. The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Approximately thirty (30) minutes of screen time was provided during the visit in space #2, and the screen time log was not found. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #1, two (2) cots were seventeen (17) inches apart in the center next to a large group area. In large group area, three (3) cots were places between eight (8) inches to thirteen (13) inches apart. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The twisted wires on the top of the fence adjacent to the road next to the trailer park is rusted. .0601(c) Technical assistance was provided as follows: 524: screen time log You are permitted up to thirty (30) minutes per day of screen time for educational contents and no more than two (2) and a half (1/2) hours per week. Please log the screen time daily not to exceed the limit. 10A NCAC 09 .0510 ACTIVITY AREAS (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; 614: Cots Cots in the classroom shall be placed at least eighteen (18) inches apart. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 705: Rust Rust on the fence shall be either removed by the rust remover or painted over. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety guidance: One of the children in space #2 brought the tricycle to the hill by the fence and slid down. The child also stood on the seat of the tricycle on the pavement area. The child is not wearing a helmet. The child’s action is not appropriate and cause high probability of injuries. Please supervise the children’s action and guide them with appropriate use of equipment. When the children are unable to make appropriate safety judgement, it is caretaker’s responsibilities to do so for them. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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 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 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

10A NCAC 09 .0601 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 23 Completed Date: 3/20/2024 Age: From 3 To 5 Total Minutes: 115 Time In: 10:45 AM Time Out: 12:40 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 an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 3/18/24. Permit type – Five-star Center License issued on 1/28/20. Special Services/Restrictions – Daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/27/23. The last fire drill was practiced on 3/14/24. The last shelter-in-place drill was practiced on 3/16/24. The last playground inspection was documented on 3/6/24. The last fire inspection was approved on 9/20/23. The last sanitation inspection was conducted on 9/15/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-five-year-old children engaged in free play with blocks, housekeeping materials, math/manipulative materials and other materials. After cleaning up, the children danced to the video. The video was played on the computer on the teacher’s desk. One (1) child was highly upset during the clean up time. The child knocked down materials from the shelves throughout the classroom. The child had to be taken to the playground. When the child calmed down, the child was brought back to the classroom. The teacher and the child cleaned up the toys. The children transitioned from the dance time to lunch. The teacher maintained his/her composure throughout the incident and calmly attended to the child. The screen time was provided to the children for approximately thirty (30) minutes. Two (2) emergency medications were maintained in the classroom. The action plans and the permission forms were current. The storage of the medications was appropriate. The children from space #2 played on the playground. Some children rode tricycles, and others dug dirt with shovels. One (1) child was pretending to plant a garden. In the classroom, the teacher read a story using a tablet, and the children transitioned to lunch. Today’s menu was chicken, waffle, collard green, pears and milk. The items were accurately listed on the menu. The Buncombe County School is conducting construction of the building to change the sidings and the gutters. The areas where the construction is happening are blocked with temporary dividers. Two (2) new staff files were monitored in full, and four (4) existing staff files were monitored partially. ABCMS system was monitored previously. The one (1) staff member’s record on ABCMS system was monitored during the visit. 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 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 due to it not being monitored during the last visit. The NC Pre-K monitoring tool was conducted by Ms. McLeod on 10/20/23. No children’s files were monitored during today’s visit. The classroom operates from 8 a.m. to 2:30 p.m. The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Approximately thirty (30) minutes of screen time was provided during the visit in space #2, and the screen time log was not found. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #1, two (2) cots were seventeen (17) inches apart in the center next to a large group area. In large group area, three (3) cots were places between eight (8) inches to thirteen (13) inches apart. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The twisted wires on the top of the fence adjacent to the road next to the trailer park is rusted. .0601(c) Technical assistance was provided as follows: 524: screen time log You are permitted up to thirty (30) minutes per day of screen time for educational contents and no more than two (2) and a half (1/2) hours per week. Please log the screen time daily not to exceed the limit. 10A NCAC 09 .0510 ACTIVITY AREAS (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; 614: Cots Cots in the classroom shall be placed at least eighteen (18) inches apart. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 705: Rust Rust on the fence shall be either removed by the rust remover or painted over. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety guidance: One of the children in space #2 brought the tricycle to the hill by the fence and slid down. The child also stood on the seat of the tricycle on the pavement area. The child is not wearing a helmet. The child’s action is not appropriate and cause high probability of injuries. Please supervise the children’s action and guide them with appropriate use of equipment. When the children are unable to make appropriate safety judgement, it is caretaker’s responsibilities to do so for them. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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 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 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

10A NCAC 09 .1102 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 23 Completed Date: 3/20/2024 Age: From 3 To 5 Total Minutes: 115 Time In: 10:45 AM Time Out: 12:40 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 an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 3/18/24. Permit type – Five-star Center License issued on 1/28/20. Special Services/Restrictions – Daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/27/23. The last fire drill was practiced on 3/14/24. The last shelter-in-place drill was practiced on 3/16/24. The last playground inspection was documented on 3/6/24. The last fire inspection was approved on 9/20/23. The last sanitation inspection was conducted on 9/15/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-five-year-old children engaged in free play with blocks, housekeeping materials, math/manipulative materials and other materials. After cleaning up, the children danced to the video. The video was played on the computer on the teacher’s desk. One (1) child was highly upset during the clean up time. The child knocked down materials from the shelves throughout the classroom. The child had to be taken to the playground. When the child calmed down, the child was brought back to the classroom. The teacher and the child cleaned up the toys. The children transitioned from the dance time to lunch. The teacher maintained his/her composure throughout the incident and calmly attended to the child. The screen time was provided to the children for approximately thirty (30) minutes. Two (2) emergency medications were maintained in the classroom. The action plans and the permission forms were current. The storage of the medications was appropriate. The children from space #2 played on the playground. Some children rode tricycles, and others dug dirt with shovels. One (1) child was pretending to plant a garden. In the classroom, the teacher read a story using a tablet, and the children transitioned to lunch. Today’s menu was chicken, waffle, collard green, pears and milk. The items were accurately listed on the menu. The Buncombe County School is conducting construction of the building to change the sidings and the gutters. The areas where the construction is happening are blocked with temporary dividers. Two (2) new staff files were monitored in full, and four (4) existing staff files were monitored partially. ABCMS system was monitored previously. The one (1) staff member’s record on ABCMS system was monitored during the visit. 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 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 due to it not being monitored during the last visit. The NC Pre-K monitoring tool was conducted by Ms. McLeod on 10/20/23. No children’s files were monitored during today’s visit. The classroom operates from 8 a.m. to 2:30 p.m. The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Approximately thirty (30) minutes of screen time was provided during the visit in space #2, and the screen time log was not found. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #1, two (2) cots were seventeen (17) inches apart in the center next to a large group area. In large group area, three (3) cots were places between eight (8) inches to thirteen (13) inches apart. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The twisted wires on the top of the fence adjacent to the road next to the trailer park is rusted. .0601(c) Technical assistance was provided as follows: 524: screen time log You are permitted up to thirty (30) minutes per day of screen time for educational contents and no more than two (2) and a half (1/2) hours per week. Please log the screen time daily not to exceed the limit. 10A NCAC 09 .0510 ACTIVITY AREAS (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; 614: Cots Cots in the classroom shall be placed at least eighteen (18) inches apart. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 705: Rust Rust on the fence shall be either removed by the rust remover or painted over. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety guidance: One of the children in space #2 brought the tricycle to the hill by the fence and slid down. The child also stood on the seat of the tricycle on the pavement area. The child is not wearing a helmet. The child’s action is not appropriate and cause high probability of injuries. Please supervise the children’s action and guide them with appropriate use of equipment. When the children are unable to make appropriate safety judgement, it is caretaker’s responsibilities to do so for them. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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 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 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

10A NCAC 09 .1703 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 23 Completed Date: 3/20/2024 Age: From 3 To 5 Total Minutes: 115 Time In: 10:45 AM Time Out: 12:40 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 an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 3/18/24. Permit type – Five-star Center License issued on 1/28/20. Special Services/Restrictions – Daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/27/23. The last fire drill was practiced on 3/14/24. The last shelter-in-place drill was practiced on 3/16/24. The last playground inspection was documented on 3/6/24. The last fire inspection was approved on 9/20/23. The last sanitation inspection was conducted on 9/15/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-five-year-old children engaged in free play with blocks, housekeeping materials, math/manipulative materials and other materials. After cleaning up, the children danced to the video. The video was played on the computer on the teacher’s desk. One (1) child was highly upset during the clean up time. The child knocked down materials from the shelves throughout the classroom. The child had to be taken to the playground. When the child calmed down, the child was brought back to the classroom. The teacher and the child cleaned up the toys. The children transitioned from the dance time to lunch. The teacher maintained his/her composure throughout the incident and calmly attended to the child. The screen time was provided to the children for approximately thirty (30) minutes. Two (2) emergency medications were maintained in the classroom. The action plans and the permission forms were current. The storage of the medications was appropriate. The children from space #2 played on the playground. Some children rode tricycles, and others dug dirt with shovels. One (1) child was pretending to plant a garden. In the classroom, the teacher read a story using a tablet, and the children transitioned to lunch. Today’s menu was chicken, waffle, collard green, pears and milk. The items were accurately listed on the menu. The Buncombe County School is conducting construction of the building to change the sidings and the gutters. The areas where the construction is happening are blocked with temporary dividers. Two (2) new staff files were monitored in full, and four (4) existing staff files were monitored partially. ABCMS system was monitored previously. The one (1) staff member’s record on ABCMS system was monitored during the visit. 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 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 due to it not being monitored during the last visit. The NC Pre-K monitoring tool was conducted by Ms. McLeod on 10/20/23. No children’s files were monitored during today’s visit. The classroom operates from 8 a.m. to 2:30 p.m. The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Approximately thirty (30) minutes of screen time was provided during the visit in space #2, and the screen time log was not found. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #1, two (2) cots were seventeen (17) inches apart in the center next to a large group area. In large group area, three (3) cots were places between eight (8) inches to thirteen (13) inches apart. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The twisted wires on the top of the fence adjacent to the road next to the trailer park is rusted. .0601(c) Technical assistance was provided as follows: 524: screen time log You are permitted up to thirty (30) minutes per day of screen time for educational contents and no more than two (2) and a half (1/2) hours per week. Please log the screen time daily not to exceed the limit. 10A NCAC 09 .0510 ACTIVITY AREAS (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; 614: Cots Cots in the classroom shall be placed at least eighteen (18) inches apart. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 705: Rust Rust on the fence shall be either removed by the rust remover or painted over. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety guidance: One of the children in space #2 brought the tricycle to the hill by the fence and slid down. The child also stood on the seat of the tricycle on the pavement area. The child is not wearing a helmet. The child’s action is not appropriate and cause high probability of injuries. Please supervise the children’s action and guide them with appropriate use of equipment. When the children are unable to make appropriate safety judgement, it is caretaker’s responsibilities to do so for them. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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 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 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

10A NCAC 09 .2830 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 23 Completed Date: 3/20/2024 Age: From 3 To 5 Total Minutes: 115 Time In: 10:45 AM Time Out: 12:40 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 an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 3/18/24. Permit type – Five-star Center License issued on 1/28/20. Special Services/Restrictions – Daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/27/23. The last fire drill was practiced on 3/14/24. The last shelter-in-place drill was practiced on 3/16/24. The last playground inspection was documented on 3/6/24. The last fire inspection was approved on 9/20/23. The last sanitation inspection was conducted on 9/15/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-five-year-old children engaged in free play with blocks, housekeeping materials, math/manipulative materials and other materials. After cleaning up, the children danced to the video. The video was played on the computer on the teacher’s desk. One (1) child was highly upset during the clean up time. The child knocked down materials from the shelves throughout the classroom. The child had to be taken to the playground. When the child calmed down, the child was brought back to the classroom. The teacher and the child cleaned up the toys. The children transitioned from the dance time to lunch. The teacher maintained his/her composure throughout the incident and calmly attended to the child. The screen time was provided to the children for approximately thirty (30) minutes. Two (2) emergency medications were maintained in the classroom. The action plans and the permission forms were current. The storage of the medications was appropriate. The children from space #2 played on the playground. Some children rode tricycles, and others dug dirt with shovels. One (1) child was pretending to plant a garden. In the classroom, the teacher read a story using a tablet, and the children transitioned to lunch. Today’s menu was chicken, waffle, collard green, pears and milk. The items were accurately listed on the menu. The Buncombe County School is conducting construction of the building to change the sidings and the gutters. The areas where the construction is happening are blocked with temporary dividers. Two (2) new staff files were monitored in full, and four (4) existing staff files were monitored partially. ABCMS system was monitored previously. The one (1) staff member’s record on ABCMS system was monitored during the visit. 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 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 due to it not being monitored during the last visit. The NC Pre-K monitoring tool was conducted by Ms. McLeod on 10/20/23. No children’s files were monitored during today’s visit. The classroom operates from 8 a.m. to 2:30 p.m. The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Approximately thirty (30) minutes of screen time was provided during the visit in space #2, and the screen time log was not found. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #1, two (2) cots were seventeen (17) inches apart in the center next to a large group area. In large group area, three (3) cots were places between eight (8) inches to thirteen (13) inches apart. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The twisted wires on the top of the fence adjacent to the road next to the trailer park is rusted. .0601(c) Technical assistance was provided as follows: 524: screen time log You are permitted up to thirty (30) minutes per day of screen time for educational contents and no more than two (2) and a half (1/2) hours per week. Please log the screen time daily not to exceed the limit. 10A NCAC 09 .0510 ACTIVITY AREAS (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; 614: Cots Cots in the classroom shall be placed at least eighteen (18) inches apart. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 705: Rust Rust on the fence shall be either removed by the rust remover or painted over. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety guidance: One of the children in space #2 brought the tricycle to the hill by the fence and slid down. The child also stood on the seat of the tricycle on the pavement area. The child is not wearing a helmet. The child’s action is not appropriate and cause high probability of injuries. Please supervise the children’s action and guide them with appropriate use of equipment. When the children are unable to make appropriate safety judgement, it is caretaker’s responsibilities to do so for them. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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 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 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: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/20/2024 Number Present: 23 Completed Date: 3/20/2024 Age: From 3 To 5 Total Minutes: 115 Time In: 10:45 AM Time Out: 12:40 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 an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of 3/18/24. Permit type – Five-star Center License issued on 1/28/20. Special Services/Restrictions – Daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 9/27/23. The last fire drill was practiced on 3/14/24. The last shelter-in-place drill was practiced on 3/16/24. The last playground inspection was documented on 3/6/24. The last fire inspection was approved on 9/20/23. The last sanitation inspection was conducted on 9/15/23 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-five-year-old children engaged in free play with blocks, housekeeping materials, math/manipulative materials and other materials. After cleaning up, the children danced to the video. The video was played on the computer on the teacher’s desk. One (1) child was highly upset during the clean up time. The child knocked down materials from the shelves throughout the classroom. The child had to be taken to the playground. When the child calmed down, the child was brought back to the classroom. The teacher and the child cleaned up the toys. The children transitioned from the dance time to lunch. The teacher maintained his/her composure throughout the incident and calmly attended to the child. The screen time was provided to the children for approximately thirty (30) minutes. Two (2) emergency medications were maintained in the classroom. The action plans and the permission forms were current. The storage of the medications was appropriate. The children from space #2 played on the playground. Some children rode tricycles, and others dug dirt with shovels. One (1) child was pretending to plant a garden. In the classroom, the teacher read a story using a tablet, and the children transitioned to lunch. Today’s menu was chicken, waffle, collard green, pears and milk. The items were accurately listed on the menu. The Buncombe County School is conducting construction of the building to change the sidings and the gutters. The areas where the construction is happening are blocked with temporary dividers. Two (2) new staff files were monitored in full, and four (4) existing staff files were monitored partially. ABCMS system was monitored previously. The one (1) staff member’s record on ABCMS system was monitored during the visit. 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 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 due to it not being monitored during the last visit. The NC Pre-K monitoring tool was conducted by Ms. McLeod on 10/20/23. No children’s files were monitored during today’s visit. The classroom operates from 8 a.m. to 2:30 p.m. The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. Approximately thirty (30) minutes of screen time was provided during the visit in space #2, and the screen time log was not found. .0510(d)(2)(A-C) 614 Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In space #1, two (2) cots were seventeen (17) inches apart in the center next to a large group area. In large group area, three (3) cots were places between eight (8) inches to thirteen (13) inches apart. 15A NCAC 18A .2821(e) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The twisted wires on the top of the fence adjacent to the road next to the trailer park is rusted. .0601(c) Technical assistance was provided as follows: 524: screen time log You are permitted up to thirty (30) minutes per day of screen time for educational contents and no more than two (2) and a half (1/2) hours per week. Please log the screen time daily not to exceed the limit. 10A NCAC 09 .0510 ACTIVITY AREAS (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; 614: Cots Cots in the classroom shall be placed at least eighteen (18) inches apart. 15A NCAC 18A .2821 BEDS, COTS, MATS, AND LINENS (e) When in use, cribs, cots, mats and playpens shall be placed at least 18 inches apart or separated by partitions which prevent physical contact. 705: Rust Rust on the fence shall be either removed by the rust remover or painted over. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/3/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety guidance: One of the children in space #2 brought the tricycle to the hill by the fence and slid down. The child also stood on the seat of the tricycle on the pavement area. The child is not wearing a helmet. The child’s action is not appropriate and cause high probability of injuries. Please supervise the children’s action and guide them with appropriate use of equipment. When the children are unable to make appropriate safety judgement, it is caretaker’s responsibilities to do so for them. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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 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 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

10A NCAC 09 .0304 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 27 Completed Date: 9/27/2023 Age: From 3 To 4 Total Minutes: 175 Time In: 08:50 AM Time Out: 11:45 AM 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 Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to 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 (95) percentage as of 9/25/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/25/23. Permit type – Special Services/Restrictions – Five-star Center license issued on 1/28/20. Restrictions include daytime care, meets enhanced space and reduced ratio. This facility’s requirements are met for transportation, NC Pre-K and Head Start. The last annual compliance visit was conducted on 10/10/22. The last fire drill was practiced on 9/1/23. The last shelter-in-place drill was practiced on 9/7/23. The last playground inspection was documented on 9/13/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/15/23 with eight (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-four-year-old children engaged in free play. The children had access to variety of materials including brush paint, water table, manipulatives, blocks, marble paint, housekeeping, etc. One (1) of the children played CD independently while he/she worked on writing. The children washed their hands before and after using the water table. In space #2, a group of three-to-four-year-old children played on the playground. Children played with tricycle, riding toys, bucket, shovels, chalk, stencils, and balls. Lunch was served during the visit. Today's menu was a sub with turkey and cheese, tater tots, pear and milk. The items served match the menu. There are two (2) children on emergency medication at this facility currently. The action plan and the permission forms are valid. Four (4) children’s files were monitored. All of them are NC Pre-K funded children. The files were in compliance. Two (2) existing staff member’s files were monitored and all documents are in compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. 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. The last monitoring tool was completed on 10/26/22. The monitoring has not been completed this school year yet. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses Brigance III and ASQ-SE. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was 8/28/23. The classroom operates from 8 a.m. to 2:30 p.m. Parent conferences are held six (6) times per year. You stated that you use Remind App, Ready Rosie, face-to-face to communicate with parents. In addition, newsletters, progress report, daily notes are sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by collecting input on child, homilists, conferences, providing opportunities for parent representatives for the board, parent meetings, taking parent pole, and providing other volunteer opportunities. Dental screening for children is scheduled for today, and the vision screening is scheduled for 10/12/23. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A child used a tablet to play educational game during the visit, and the activity was not logged on the screen time log. .0510(d)(2)(A-C) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #2, some of the children did not wash their hands upon returning to the classroom from outdoor. 15A NCAC 18A .2803(c) Technical assistance was provided as follows: 524: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 608: Handwashing Children shall wash hands after playground time. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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 10/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Johnston Elementary Head Start is in cohort two (2), which means your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the Rated License Assessment plan. Handwashing: It is always best to wash children’s hands with soap and water. However, with many children with disabilities in the classroom, it can be challenging to require handwashing with soap and water all the time. For your knowledge, soap and water are required for handwashing after toileting and before eating. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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

10A NCAC 09 .0510 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 27 Completed Date: 9/27/2023 Age: From 3 To 4 Total Minutes: 175 Time In: 08:50 AM Time Out: 11:45 AM 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 Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to 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 (95) percentage as of 9/25/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/25/23. Permit type – Special Services/Restrictions – Five-star Center license issued on 1/28/20. Restrictions include daytime care, meets enhanced space and reduced ratio. This facility’s requirements are met for transportation, NC Pre-K and Head Start. The last annual compliance visit was conducted on 10/10/22. The last fire drill was practiced on 9/1/23. The last shelter-in-place drill was practiced on 9/7/23. The last playground inspection was documented on 9/13/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/15/23 with eight (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-four-year-old children engaged in free play. The children had access to variety of materials including brush paint, water table, manipulatives, blocks, marble paint, housekeeping, etc. One (1) of the children played CD independently while he/she worked on writing. The children washed their hands before and after using the water table. In space #2, a group of three-to-four-year-old children played on the playground. Children played with tricycle, riding toys, bucket, shovels, chalk, stencils, and balls. Lunch was served during the visit. Today's menu was a sub with turkey and cheese, tater tots, pear and milk. The items served match the menu. There are two (2) children on emergency medication at this facility currently. The action plan and the permission forms are valid. Four (4) children’s files were monitored. All of them are NC Pre-K funded children. The files were in compliance. Two (2) existing staff member’s files were monitored and all documents are in compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. 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. The last monitoring tool was completed on 10/26/22. The monitoring has not been completed this school year yet. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses Brigance III and ASQ-SE. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was 8/28/23. The classroom operates from 8 a.m. to 2:30 p.m. Parent conferences are held six (6) times per year. You stated that you use Remind App, Ready Rosie, face-to-face to communicate with parents. In addition, newsletters, progress report, daily notes are sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by collecting input on child, homilists, conferences, providing opportunities for parent representatives for the board, parent meetings, taking parent pole, and providing other volunteer opportunities. Dental screening for children is scheduled for today, and the vision screening is scheduled for 10/12/23. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A child used a tablet to play educational game during the visit, and the activity was not logged on the screen time log. .0510(d)(2)(A-C) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #2, some of the children did not wash their hands upon returning to the classroom from outdoor. 15A NCAC 18A .2803(c) Technical assistance was provided as follows: 524: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 608: Handwashing Children shall wash hands after playground time. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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 10/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Johnston Elementary Head Start is in cohort two (2), which means your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the Rated License Assessment plan. Handwashing: It is always best to wash children’s hands with soap and water. However, with many children with disabilities in the classroom, it can be challenging to require handwashing with soap and water all the time. For your knowledge, soap and water are required for handwashing after toileting and before eating. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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

10A NCAC 09 .1102 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 27 Completed Date: 9/27/2023 Age: From 3 To 4 Total Minutes: 175 Time In: 08:50 AM Time Out: 11:45 AM 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 Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to 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 (95) percentage as of 9/25/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/25/23. Permit type – Special Services/Restrictions – Five-star Center license issued on 1/28/20. Restrictions include daytime care, meets enhanced space and reduced ratio. This facility’s requirements are met for transportation, NC Pre-K and Head Start. The last annual compliance visit was conducted on 10/10/22. The last fire drill was practiced on 9/1/23. The last shelter-in-place drill was practiced on 9/7/23. The last playground inspection was documented on 9/13/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/15/23 with eight (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-four-year-old children engaged in free play. The children had access to variety of materials including brush paint, water table, manipulatives, blocks, marble paint, housekeeping, etc. One (1) of the children played CD independently while he/she worked on writing. The children washed their hands before and after using the water table. In space #2, a group of three-to-four-year-old children played on the playground. Children played with tricycle, riding toys, bucket, shovels, chalk, stencils, and balls. Lunch was served during the visit. Today's menu was a sub with turkey and cheese, tater tots, pear and milk. The items served match the menu. There are two (2) children on emergency medication at this facility currently. The action plan and the permission forms are valid. Four (4) children’s files were monitored. All of them are NC Pre-K funded children. The files were in compliance. Two (2) existing staff member’s files were monitored and all documents are in compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. 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. The last monitoring tool was completed on 10/26/22. The monitoring has not been completed this school year yet. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses Brigance III and ASQ-SE. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was 8/28/23. The classroom operates from 8 a.m. to 2:30 p.m. Parent conferences are held six (6) times per year. You stated that you use Remind App, Ready Rosie, face-to-face to communicate with parents. In addition, newsletters, progress report, daily notes are sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by collecting input on child, homilists, conferences, providing opportunities for parent representatives for the board, parent meetings, taking parent pole, and providing other volunteer opportunities. Dental screening for children is scheduled for today, and the vision screening is scheduled for 10/12/23. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A child used a tablet to play educational game during the visit, and the activity was not logged on the screen time log. .0510(d)(2)(A-C) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #2, some of the children did not wash their hands upon returning to the classroom from outdoor. 15A NCAC 18A .2803(c) Technical assistance was provided as follows: 524: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 608: Handwashing Children shall wash hands after playground time. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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 10/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Johnston Elementary Head Start is in cohort two (2), which means your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the Rated License Assessment plan. Handwashing: It is always best to wash children’s hands with soap and water. However, with many children with disabilities in the classroom, it can be challenging to require handwashing with soap and water all the time. For your knowledge, soap and water are required for handwashing after toileting and before eating. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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

10A NCAC 09 .1703 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 27 Completed Date: 9/27/2023 Age: From 3 To 4 Total Minutes: 175 Time In: 08:50 AM Time Out: 11:45 AM 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 Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to 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 (95) percentage as of 9/25/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/25/23. Permit type – Special Services/Restrictions – Five-star Center license issued on 1/28/20. Restrictions include daytime care, meets enhanced space and reduced ratio. This facility’s requirements are met for transportation, NC Pre-K and Head Start. The last annual compliance visit was conducted on 10/10/22. The last fire drill was practiced on 9/1/23. The last shelter-in-place drill was practiced on 9/7/23. The last playground inspection was documented on 9/13/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/15/23 with eight (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-four-year-old children engaged in free play. The children had access to variety of materials including brush paint, water table, manipulatives, blocks, marble paint, housekeeping, etc. One (1) of the children played CD independently while he/she worked on writing. The children washed their hands before and after using the water table. In space #2, a group of three-to-four-year-old children played on the playground. Children played with tricycle, riding toys, bucket, shovels, chalk, stencils, and balls. Lunch was served during the visit. Today's menu was a sub with turkey and cheese, tater tots, pear and milk. The items served match the menu. There are two (2) children on emergency medication at this facility currently. The action plan and the permission forms are valid. Four (4) children’s files were monitored. All of them are NC Pre-K funded children. The files were in compliance. Two (2) existing staff member’s files were monitored and all documents are in compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. 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. The last monitoring tool was completed on 10/26/22. The monitoring has not been completed this school year yet. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses Brigance III and ASQ-SE. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was 8/28/23. The classroom operates from 8 a.m. to 2:30 p.m. Parent conferences are held six (6) times per year. You stated that you use Remind App, Ready Rosie, face-to-face to communicate with parents. In addition, newsletters, progress report, daily notes are sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by collecting input on child, homilists, conferences, providing opportunities for parent representatives for the board, parent meetings, taking parent pole, and providing other volunteer opportunities. Dental screening for children is scheduled for today, and the vision screening is scheduled for 10/12/23. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A child used a tablet to play educational game during the visit, and the activity was not logged on the screen time log. .0510(d)(2)(A-C) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #2, some of the children did not wash their hands upon returning to the classroom from outdoor. 15A NCAC 18A .2803(c) Technical assistance was provided as follows: 524: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 608: Handwashing Children shall wash hands after playground time. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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 10/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Johnston Elementary Head Start is in cohort two (2), which means your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the Rated License Assessment plan. Handwashing: It is always best to wash children’s hands with soap and water. However, with many children with disabilities in the classroom, it can be challenging to require handwashing with soap and water all the time. For your knowledge, soap and water are required for handwashing after toileting and before eating. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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

10A NCAC 09 .2830 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 27 Completed Date: 9/27/2023 Age: From 3 To 4 Total Minutes: 175 Time In: 08:50 AM Time Out: 11:45 AM 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 Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to 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 (95) percentage as of 9/25/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/25/23. Permit type – Special Services/Restrictions – Five-star Center license issued on 1/28/20. Restrictions include daytime care, meets enhanced space and reduced ratio. This facility’s requirements are met for transportation, NC Pre-K and Head Start. The last annual compliance visit was conducted on 10/10/22. The last fire drill was practiced on 9/1/23. The last shelter-in-place drill was practiced on 9/7/23. The last playground inspection was documented on 9/13/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/15/23 with eight (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-four-year-old children engaged in free play. The children had access to variety of materials including brush paint, water table, manipulatives, blocks, marble paint, housekeeping, etc. One (1) of the children played CD independently while he/she worked on writing. The children washed their hands before and after using the water table. In space #2, a group of three-to-four-year-old children played on the playground. Children played with tricycle, riding toys, bucket, shovels, chalk, stencils, and balls. Lunch was served during the visit. Today's menu was a sub with turkey and cheese, tater tots, pear and milk. The items served match the menu. There are two (2) children on emergency medication at this facility currently. The action plan and the permission forms are valid. Four (4) children’s files were monitored. All of them are NC Pre-K funded children. The files were in compliance. Two (2) existing staff member’s files were monitored and all documents are in compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. 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. The last monitoring tool was completed on 10/26/22. The monitoring has not been completed this school year yet. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses Brigance III and ASQ-SE. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was 8/28/23. The classroom operates from 8 a.m. to 2:30 p.m. Parent conferences are held six (6) times per year. You stated that you use Remind App, Ready Rosie, face-to-face to communicate with parents. In addition, newsletters, progress report, daily notes are sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by collecting input on child, homilists, conferences, providing opportunities for parent representatives for the board, parent meetings, taking parent pole, and providing other volunteer opportunities. Dental screening for children is scheduled for today, and the vision screening is scheduled for 10/12/23. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A child used a tablet to play educational game during the visit, and the activity was not logged on the screen time log. .0510(d)(2)(A-C) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #2, some of the children did not wash their hands upon returning to the classroom from outdoor. 15A NCAC 18A .2803(c) Technical assistance was provided as follows: 524: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 608: Handwashing Children shall wash hands after playground time. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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 10/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Johnston Elementary Head Start is in cohort two (2), which means your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the Rated License Assessment plan. Handwashing: It is always best to wash children’s hands with soap and water. However, with many children with disabilities in the classroom, it can be challenging to require handwashing with soap and water all the time. For your knowledge, soap and water are required for handwashing after toileting and before eating. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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

10A NCAC 09 .3009 · Violation

Name of Operation: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 27 Completed Date: 9/27/2023 Age: From 3 To 4 Total Minutes: 175 Time In: 08:50 AM Time Out: 11:45 AM 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 Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to 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 (95) percentage as of 9/25/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/25/23. Permit type – Special Services/Restrictions – Five-star Center license issued on 1/28/20. Restrictions include daytime care, meets enhanced space and reduced ratio. This facility’s requirements are met for transportation, NC Pre-K and Head Start. The last annual compliance visit was conducted on 10/10/22. The last fire drill was practiced on 9/1/23. The last shelter-in-place drill was practiced on 9/7/23. The last playground inspection was documented on 9/13/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/15/23 with eight (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-four-year-old children engaged in free play. The children had access to variety of materials including brush paint, water table, manipulatives, blocks, marble paint, housekeeping, etc. One (1) of the children played CD independently while he/she worked on writing. The children washed their hands before and after using the water table. In space #2, a group of three-to-four-year-old children played on the playground. Children played with tricycle, riding toys, bucket, shovels, chalk, stencils, and balls. Lunch was served during the visit. Today's menu was a sub with turkey and cheese, tater tots, pear and milk. The items served match the menu. There are two (2) children on emergency medication at this facility currently. The action plan and the permission forms are valid. Four (4) children’s files were monitored. All of them are NC Pre-K funded children. The files were in compliance. Two (2) existing staff member’s files were monitored and all documents are in compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. 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. The last monitoring tool was completed on 10/26/22. The monitoring has not been completed this school year yet. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses Brigance III and ASQ-SE. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was 8/28/23. The classroom operates from 8 a.m. to 2:30 p.m. Parent conferences are held six (6) times per year. You stated that you use Remind App, Ready Rosie, face-to-face to communicate with parents. In addition, newsletters, progress report, daily notes are sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by collecting input on child, homilists, conferences, providing opportunities for parent representatives for the board, parent meetings, taking parent pole, and providing other volunteer opportunities. Dental screening for children is scheduled for today, and the vision screening is scheduled for 10/12/23. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A child used a tablet to play educational game during the visit, and the activity was not logged on the screen time log. .0510(d)(2)(A-C) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #2, some of the children did not wash their hands upon returning to the classroom from outdoor. 15A NCAC 18A .2803(c) Technical assistance was provided as follows: 524: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 608: Handwashing Children shall wash hands after playground time. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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 10/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Johnston Elementary Head Start is in cohort two (2), which means your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the Rated License Assessment plan. Handwashing: It is always best to wash children’s hands with soap and water. However, with many children with disabilities in the classroom, it can be challenging to require handwashing with soap and water all the time. For your knowledge, soap and water are required for handwashing after toileting and before eating. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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: JOHNSTON ELEMENTARY HEAD START Facility ID: 11000811 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/27/2023 Number Present: 27 Completed Date: 9/27/2023 Age: From 3 To 4 Total Minutes: 175 Time In: 08:50 AM Time Out: 11:45 AM 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 Kaoru Eddins, Child Care Consultant and also signed by Monica McLeod, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Monica McLeod, Administrator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to 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 (95) percentage as of 9/25/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/25/23. Permit type – Special Services/Restrictions – Five-star Center license issued on 1/28/20. Restrictions include daytime care, meets enhanced space and reduced ratio. This facility’s requirements are met for transportation, NC Pre-K and Head Start. The last annual compliance visit was conducted on 10/10/22. The last fire drill was practiced on 9/1/23. The last shelter-in-place drill was practiced on 9/7/23. The last playground inspection was documented on 9/13/23. The last fire inspection was approved on 1/25/23. The last sanitation inspection was conducted on 9/15/23 with eight (2) 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. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of three-to-four-year-old children engaged in free play. The children had access to variety of materials including brush paint, water table, manipulatives, blocks, marble paint, housekeeping, etc. One (1) of the children played CD independently while he/she worked on writing. The children washed their hands before and after using the water table. In space #2, a group of three-to-four-year-old children played on the playground. Children played with tricycle, riding toys, bucket, shovels, chalk, stencils, and balls. Lunch was served during the visit. Today's menu was a sub with turkey and cheese, tater tots, pear and milk. The items served match the menu. There are two (2) children on emergency medication at this facility currently. The action plan and the permission forms are valid. Four (4) children’s files were monitored. All of them are NC Pre-K funded children. The files were in compliance. Two (2) existing staff member’s files were monitored and all documents are in compliance. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The transportation for Community Action Opportunities sites were monitored on 5/12/23 at 74 Washington Ave. Woodfin, NC 28804. Bus #27, #32, #33, #16 (#58), #17(#59), #62 were monitored. A fire extinguisher is safely mounted in all buses. Seats are in good condition on most buses. There are some tears on the seats on #27 and #32. The tears are covered by duct tape. All buses are insured by Hanover insurance company and the current insurance is valid through 9/30/23. Inspection and registration are current for all vehicles. Expiration for #27, #32, #33 and #62 are January 31, 2024. Expiration dates for #16 and #17 are November 30, 2023. 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. The last monitoring tool was completed on 10/26/22. The monitoring has not been completed this school year yet. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You have completed the developmental screenings. The center uses Brigance III and ASQ-SE. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was 8/28/23. The classroom operates from 8 a.m. to 2:30 p.m. Parent conferences are held six (6) times per year. You stated that you use Remind App, Ready Rosie, face-to-face to communicate with parents. In addition, newsletters, progress report, daily notes are sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by collecting input on child, homilists, conferences, providing opportunities for parent representatives for the board, parent meetings, taking parent pole, and providing other volunteer opportunities. Dental screening for children is scheduled for today, and the vision screening is scheduled for 10/12/23. The following violations were documented during today’s visit: Violation Number Comment Rule 524 When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. A child used a tablet to play educational game during the visit, and the activity was not logged on the screen time log. .0510(d)(2)(A-C) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space #2, some of the children did not wash their hands upon returning to the classroom from outdoor. 15A NCAC 18A .2803(c) Technical assistance was provided as follows: 524: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. 608: Handwashing Children shall wash hands after playground time. 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. 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 10/11/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Johnston Elementary Head Start is in cohort two (2), which means your prep-year will be July 2024 to June 2025, and the assessment year will be July 2025 to June 2026. I will contact you in July 2024 to discuss details of the Rated License Assessment plan. Handwashing: It is always best to wash children’s hands with soap and water. However, with many children with disabilities in the classroom, it can be challenging to require handwashing with soap and water all the time. For your knowledge, soap and water are required for handwashing after toileting and before eating. If you have any questions or concerns regarding the Stabilization, Expansion and Access 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. 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 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