Lucy S. Herring Pre-K

10A NCAC 09 .0304 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/7/2026 Number Present: 21 Completed Date: 5/7/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 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. Due to connectivity issues, a hand written report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Wright was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 5/4/26. The facility is operated by Asheville City Schools. Permit type – Five (5) star license, issued 2/27/26 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start, and Transportation. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 4/30/26. The last lockdown drill was practiced on 3/26/26. The facility will need to conduct a shelter-in-place drill in June since you will be in operation. The last playground inspection was documented on 4/20/26. The last fire inspection was approved on 11/6/25. The last sanitation inspection was conducted on 1/28/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum Approved formative assessment is Teaching Strategies Gold. Lead water testing was completed on 7/16/24 without hazards. The Clean Classrooms for Carolina Kids website states the Lead Based Paint testing is complete, however the website states “no data available” under the Lead Based Paint tab. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey review by RTI”. Continue to work with RTI and the public school to complete required testing. The program is approved to provide transportation. You currently do not provide transportation for children on a regular basis. The program uses public school buses. 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. The tool was completed by Susanna Smith, Administrator, on 10/21/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Upon arrival I was greeted by Adriana Sparkman, Lead Teacher. Ms. Wright arrived at approximately 10:00am. In classroom space 2, children transitioned from a large group meeting to outdoor play. Children put on rainboots and rain coats before transitioning outdoors. The facility is currently in the process of replacing the fence on the license playground space. Children from the Pre-K classroom are temporarily utilizing outdoor space near their classroom. Permission to play outside the fenced area is signed by parents upon enrollment. Children were observed riding tricycles, exploring bubbles and kicking and throwing balls of various sizes. In classroom space 1, children were exploring their environment through crawling, cruising and walking. Children explored mouthable toys, shook rattling toys and engaged in gross motor play in the classroom. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles for one (1) child were not dated accurately. One (1) was dated for 5/6/26 and two (2) bottles were dated for 5/5/26. The teacher stated the bottles were received today. 15A NCAC 18A .2804(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in classroom space 1. .0606(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A bottle warmer was observed in use in an area accessible to children in the classroom space 1. .0604(e) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 3/19/26, completed the Emergency Information form on 3/24/26. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1), hire date 3/19/26, signed the policy on 3/24/26. .0608(d)(1-4) Technical assistance was provided as follows: Item #533: The bottles were accurately labeled during the visit today. This is corrected. No further compliance action is needed at this time. Moving forward, plan to screen bottles as they come in to ensure they are labeled accurately. Item #892: The policy was posted during the visit today. This is corrected, no further corrective action is needed. Item #898: To reach compliance with this item, the bottle warmer must be moved to an area inaccessible to children. Per definition, inaccessible is five (5) feet or higher. The cords for the bottle warmer must be inaccessible as well. We discussed possible solutions such as purchasing a bottle warmer that has a longer cord or is battery operated so that it can sit on the refrigerator. Plan to refer to the manufacturer’s instructions to check that extension cords are able to be used with the product. Please note, bottles are not required to be warmed, per rule. Item #1035: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure staff complete the emergency information form on or before the first day of work. Item #1874: To reach compliance with this item, provide a statement that indicates how you will ensure new staff sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy prior to working with children. For example, you can state that staff will not be permitted to work without signing the policy upon entering the facility on their first day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/21/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License: The facility has elected to participate in the Quality Rating and Improvement System (QRIS): Pathways to the Stars. The facility has chosen Pathway 2: Classroom and Instructional Quality. I receive the Application for Reassessment for Rated License, Family and Community Engagement Standards, Facility Continuous Quality Improvement (CQI) plan, and Staff Information Sheet on 3/31/26. I received an updated Application on 4/13/26. The facility houses an NC Pre-K classroom. You are currently in your window for the ECERS-3 assessment. The rated license is evaluated as follows: Ratios and Enhanced Space: The facility currently follows reduced, enhanced ratios per rule .3209(b). The facility elects to follow minimum space requirements per rule .1401(f). Education: Lead Teacher Education: One (1) lead teacher meets requirements in rule .3212(c)(2) earning the distinction of a three (3) star Lead Teacher. One (1) lead teacher meets requirements in rule .3212 (e)(1) earning the distinction of a five (5) star Lead Teacher. Fifty percent (50%) of Lead Teachers meet the five (5) star requirements. Other Educators: The Administrator meets the requirements in rule .3211 (e)(3) earning the distinction of a five (5) star Administrator. Fifty percent (50%) of the Administrators, teachers and other educators meet the requirements for a five (5) star distinction for their relative position. The facility meets five (5) star education requirements. Education was verified via WORKS on 5/4/26. Please note, one (1) lead teacher must have a new evaluation since receiving a two year degree in Early Childhood Education. One (1) new teacher is in the process of registering in WORKS and submitting transcripts to be evaluated. Family and Community Engagement: The facility meets foundational practices outlined in rule .3219(b). The facility meets options from each category of engagement plus two (2) additional options. The Family and Community Engagement Standards form was provided to me via email on 3/31/26. The family handbook was reviewed during the visit today. The following checked standards require evidence before the license can be processed: -Foundational practice regarding families sharing cultural heritage. -C-3 -EL-2 -EL-5 -EO-3 -EO-5 Please submit evidence of these practices in order for the license to be processed. Continuous Quality Improvement (CQI): The CQI plan for all staff was not available for review during the visit today. You stated they are located in the Administrator’s office, off-site and were unable to be retrieved during the visit. In order to move forward with the Rated License, please plan to send me the copies of the CQI plans for staff. The CQI plan for the facility was provided to me via email on 3/31/26. This requirement is met. Curriculum and Assessment: The facility uses the Creative Curriculum for ages 0-5 years old. The facility uses Teaching Strategies Gold as the formative assessment tool for all ages served. This requirement is met. You stated the curriculum for the infant/toddler classroom has been purchased, however it has not arrived. The Administrator and all lead teachers have not completed training for the curriculum. This is a requirement in order to earn a five (5) star Rated License. Please send me copies of the training for the Administrator and Lead Teachers in order for the license to be processed. Training or Coaching/Mentoring: The Administrator and Lead Teachers will receive an additional five (5) hours of on-going training each year per rule .3205 (e)10&11. I was unable to assign a star rating to the facility at this time. Please provide the information stated above to complete the Rated License process. Please note, an additional visit may be needed to complete the process. We discussed all violations must be corrected before the Rated License can be processed. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/7/2026 Number Present: 21 Completed Date: 5/7/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 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. Due to connectivity issues, a hand written report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Wright was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 5/4/26. The facility is operated by Asheville City Schools. Permit type – Five (5) star license, issued 2/27/26 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start, and Transportation. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 4/30/26. The last lockdown drill was practiced on 3/26/26. The facility will need to conduct a shelter-in-place drill in June since you will be in operation. The last playground inspection was documented on 4/20/26. The last fire inspection was approved on 11/6/25. The last sanitation inspection was conducted on 1/28/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum Approved formative assessment is Teaching Strategies Gold. Lead water testing was completed on 7/16/24 without hazards. The Clean Classrooms for Carolina Kids website states the Lead Based Paint testing is complete, however the website states “no data available” under the Lead Based Paint tab. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey review by RTI”. Continue to work with RTI and the public school to complete required testing. The program is approved to provide transportation. You currently do not provide transportation for children on a regular basis. The program uses public school buses. 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. The tool was completed by Susanna Smith, Administrator, on 10/21/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Upon arrival I was greeted by Adriana Sparkman, Lead Teacher. Ms. Wright arrived at approximately 10:00am. In classroom space 2, children transitioned from a large group meeting to outdoor play. Children put on rainboots and rain coats before transitioning outdoors. The facility is currently in the process of replacing the fence on the license playground space. Children from the Pre-K classroom are temporarily utilizing outdoor space near their classroom. Permission to play outside the fenced area is signed by parents upon enrollment. Children were observed riding tricycles, exploring bubbles and kicking and throwing balls of various sizes. In classroom space 1, children were exploring their environment through crawling, cruising and walking. Children explored mouthable toys, shook rattling toys and engaged in gross motor play in the classroom. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles for one (1) child were not dated accurately. One (1) was dated for 5/6/26 and two (2) bottles were dated for 5/5/26. The teacher stated the bottles were received today. 15A NCAC 18A .2804(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in classroom space 1. .0606(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A bottle warmer was observed in use in an area accessible to children in the classroom space 1. .0604(e) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 3/19/26, completed the Emergency Information form on 3/24/26. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1), hire date 3/19/26, signed the policy on 3/24/26. .0608(d)(1-4) Technical assistance was provided as follows: Item #533: The bottles were accurately labeled during the visit today. This is corrected. No further compliance action is needed at this time. Moving forward, plan to screen bottles as they come in to ensure they are labeled accurately. Item #892: The policy was posted during the visit today. This is corrected, no further corrective action is needed. Item #898: To reach compliance with this item, the bottle warmer must be moved to an area inaccessible to children. Per definition, inaccessible is five (5) feet or higher. The cords for the bottle warmer must be inaccessible as well. We discussed possible solutions such as purchasing a bottle warmer that has a longer cord or is battery operated so that it can sit on the refrigerator. Plan to refer to the manufacturer’s instructions to check that extension cords are able to be used with the product. Please note, bottles are not required to be warmed, per rule. Item #1035: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure staff complete the emergency information form on or before the first day of work. Item #1874: To reach compliance with this item, provide a statement that indicates how you will ensure new staff sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy prior to working with children. For example, you can state that staff will not be permitted to work without signing the policy upon entering the facility on their first day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/21/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License: The facility has elected to participate in the Quality Rating and Improvement System (QRIS): Pathways to the Stars. The facility has chosen Pathway 2: Classroom and Instructional Quality. I receive the Application for Reassessment for Rated License, Family and Community Engagement Standards, Facility Continuous Quality Improvement (CQI) plan, and Staff Information Sheet on 3/31/26. I received an updated Application on 4/13/26. The facility houses an NC Pre-K classroom. You are currently in your window for the ECERS-3 assessment. The rated license is evaluated as follows: Ratios and Enhanced Space: The facility currently follows reduced, enhanced ratios per rule .3209(b). The facility elects to follow minimum space requirements per rule .1401(f). Education: Lead Teacher Education: One (1) lead teacher meets requirements in rule .3212(c)(2) earning the distinction of a three (3) star Lead Teacher. One (1) lead teacher meets requirements in rule .3212 (e)(1) earning the distinction of a five (5) star Lead Teacher. Fifty percent (50%) of Lead Teachers meet the five (5) star requirements. Other Educators: The Administrator meets the requirements in rule .3211 (e)(3) earning the distinction of a five (5) star Administrator. Fifty percent (50%) of the Administrators, teachers and other educators meet the requirements for a five (5) star distinction for their relative position. The facility meets five (5) star education requirements. Education was verified via WORKS on 5/4/26. Please note, one (1) lead teacher must have a new evaluation since receiving a two year degree in Early Childhood Education. One (1) new teacher is in the process of registering in WORKS and submitting transcripts to be evaluated. Family and Community Engagement: The facility meets foundational practices outlined in rule .3219(b). The facility meets options from each category of engagement plus two (2) additional options. The Family and Community Engagement Standards form was provided to me via email on 3/31/26. The family handbook was reviewed during the visit today. The following checked standards require evidence before the license can be processed: -Foundational practice regarding families sharing cultural heritage. -C-3 -EL-2 -EL-5 -EO-3 -EO-5 Please submit evidence of these practices in order for the license to be processed. Continuous Quality Improvement (CQI): The CQI plan for all staff was not available for review during the visit today. You stated they are located in the Administrator’s office, off-site and were unable to be retrieved during the visit. In order to move forward with the Rated License, please plan to send me the copies of the CQI plans for staff. The CQI plan for the facility was provided to me via email on 3/31/26. This requirement is met. Curriculum and Assessment: The facility uses the Creative Curriculum for ages 0-5 years old. The facility uses Teaching Strategies Gold as the formative assessment tool for all ages served. This requirement is met. You stated the curriculum for the infant/toddler classroom has been purchased, however it has not arrived. The Administrator and all lead teachers have not completed training for the curriculum. This is a requirement in order to earn a five (5) star Rated License. Please send me copies of the training for the Administrator and Lead Teachers in order for the license to be processed. Training or Coaching/Mentoring: The Administrator and Lead Teachers will receive an additional five (5) hours of on-going training each year per rule .3205 (e)10&11. I was unable to assign a star rating to the facility at this time. Please provide the information stated above to complete the Rated License process. Please note, an additional visit may be needed to complete the process. We discussed all violations must be corrected before the Rated License can be processed. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/7/2026 Number Present: 21 Completed Date: 5/7/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 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. Due to connectivity issues, a hand written report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Wright was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 5/4/26. The facility is operated by Asheville City Schools. Permit type – Five (5) star license, issued 2/27/26 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start, and Transportation. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 4/30/26. The last lockdown drill was practiced on 3/26/26. The facility will need to conduct a shelter-in-place drill in June since you will be in operation. The last playground inspection was documented on 4/20/26. The last fire inspection was approved on 11/6/25. The last sanitation inspection was conducted on 1/28/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum Approved formative assessment is Teaching Strategies Gold. Lead water testing was completed on 7/16/24 without hazards. The Clean Classrooms for Carolina Kids website states the Lead Based Paint testing is complete, however the website states “no data available” under the Lead Based Paint tab. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey review by RTI”. Continue to work with RTI and the public school to complete required testing. The program is approved to provide transportation. You currently do not provide transportation for children on a regular basis. The program uses public school buses. 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. The tool was completed by Susanna Smith, Administrator, on 10/21/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Upon arrival I was greeted by Adriana Sparkman, Lead Teacher. Ms. Wright arrived at approximately 10:00am. In classroom space 2, children transitioned from a large group meeting to outdoor play. Children put on rainboots and rain coats before transitioning outdoors. The facility is currently in the process of replacing the fence on the license playground space. Children from the Pre-K classroom are temporarily utilizing outdoor space near their classroom. Permission to play outside the fenced area is signed by parents upon enrollment. Children were observed riding tricycles, exploring bubbles and kicking and throwing balls of various sizes. In classroom space 1, children were exploring their environment through crawling, cruising and walking. Children explored mouthable toys, shook rattling toys and engaged in gross motor play in the classroom. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles for one (1) child were not dated accurately. One (1) was dated for 5/6/26 and two (2) bottles were dated for 5/5/26. The teacher stated the bottles were received today. 15A NCAC 18A .2804(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in classroom space 1. .0606(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A bottle warmer was observed in use in an area accessible to children in the classroom space 1. .0604(e) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 3/19/26, completed the Emergency Information form on 3/24/26. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1), hire date 3/19/26, signed the policy on 3/24/26. .0608(d)(1-4) Technical assistance was provided as follows: Item #533: The bottles were accurately labeled during the visit today. This is corrected. No further compliance action is needed at this time. Moving forward, plan to screen bottles as they come in to ensure they are labeled accurately. Item #892: The policy was posted during the visit today. This is corrected, no further corrective action is needed. Item #898: To reach compliance with this item, the bottle warmer must be moved to an area inaccessible to children. Per definition, inaccessible is five (5) feet or higher. The cords for the bottle warmer must be inaccessible as well. We discussed possible solutions such as purchasing a bottle warmer that has a longer cord or is battery operated so that it can sit on the refrigerator. Plan to refer to the manufacturer’s instructions to check that extension cords are able to be used with the product. Please note, bottles are not required to be warmed, per rule. Item #1035: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure staff complete the emergency information form on or before the first day of work. Item #1874: To reach compliance with this item, provide a statement that indicates how you will ensure new staff sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy prior to working with children. For example, you can state that staff will not be permitted to work without signing the policy upon entering the facility on their first day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/21/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License: The facility has elected to participate in the Quality Rating and Improvement System (QRIS): Pathways to the Stars. The facility has chosen Pathway 2: Classroom and Instructional Quality. I receive the Application for Reassessment for Rated License, Family and Community Engagement Standards, Facility Continuous Quality Improvement (CQI) plan, and Staff Information Sheet on 3/31/26. I received an updated Application on 4/13/26. The facility houses an NC Pre-K classroom. You are currently in your window for the ECERS-3 assessment. The rated license is evaluated as follows: Ratios and Enhanced Space: The facility currently follows reduced, enhanced ratios per rule .3209(b). The facility elects to follow minimum space requirements per rule .1401(f). Education: Lead Teacher Education: One (1) lead teacher meets requirements in rule .3212(c)(2) earning the distinction of a three (3) star Lead Teacher. One (1) lead teacher meets requirements in rule .3212 (e)(1) earning the distinction of a five (5) star Lead Teacher. Fifty percent (50%) of Lead Teachers meet the five (5) star requirements. Other Educators: The Administrator meets the requirements in rule .3211 (e)(3) earning the distinction of a five (5) star Administrator. Fifty percent (50%) of the Administrators, teachers and other educators meet the requirements for a five (5) star distinction for their relative position. The facility meets five (5) star education requirements. Education was verified via WORKS on 5/4/26. Please note, one (1) lead teacher must have a new evaluation since receiving a two year degree in Early Childhood Education. One (1) new teacher is in the process of registering in WORKS and submitting transcripts to be evaluated. Family and Community Engagement: The facility meets foundational practices outlined in rule .3219(b). The facility meets options from each category of engagement plus two (2) additional options. The Family and Community Engagement Standards form was provided to me via email on 3/31/26. The family handbook was reviewed during the visit today. The following checked standards require evidence before the license can be processed: -Foundational practice regarding families sharing cultural heritage. -C-3 -EL-2 -EL-5 -EO-3 -EO-5 Please submit evidence of these practices in order for the license to be processed. Continuous Quality Improvement (CQI): The CQI plan for all staff was not available for review during the visit today. You stated they are located in the Administrator’s office, off-site and were unable to be retrieved during the visit. In order to move forward with the Rated License, please plan to send me the copies of the CQI plans for staff. The CQI plan for the facility was provided to me via email on 3/31/26. This requirement is met. Curriculum and Assessment: The facility uses the Creative Curriculum for ages 0-5 years old. The facility uses Teaching Strategies Gold as the formative assessment tool for all ages served. This requirement is met. You stated the curriculum for the infant/toddler classroom has been purchased, however it has not arrived. The Administrator and all lead teachers have not completed training for the curriculum. This is a requirement in order to earn a five (5) star Rated License. Please send me copies of the training for the Administrator and Lead Teachers in order for the license to be processed. Training or Coaching/Mentoring: The Administrator and Lead Teachers will receive an additional five (5) hours of on-going training each year per rule .3205 (e)10&11. I was unable to assign a star rating to the facility at this time. Please provide the information stated above to complete the Rated License process. Please note, an additional visit may be needed to complete the process. We discussed all violations must be corrected before the Rated License can be processed. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/7/2026 Number Present: 21 Completed Date: 5/7/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 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. Due to connectivity issues, a hand written report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Wright was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 5/4/26. The facility is operated by Asheville City Schools. Permit type – Five (5) star license, issued 2/27/26 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start, and Transportation. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 4/30/26. The last lockdown drill was practiced on 3/26/26. The facility will need to conduct a shelter-in-place drill in June since you will be in operation. The last playground inspection was documented on 4/20/26. The last fire inspection was approved on 11/6/25. The last sanitation inspection was conducted on 1/28/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum Approved formative assessment is Teaching Strategies Gold. Lead water testing was completed on 7/16/24 without hazards. The Clean Classrooms for Carolina Kids website states the Lead Based Paint testing is complete, however the website states “no data available” under the Lead Based Paint tab. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey review by RTI”. Continue to work with RTI and the public school to complete required testing. The program is approved to provide transportation. You currently do not provide transportation for children on a regular basis. The program uses public school buses. 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. The tool was completed by Susanna Smith, Administrator, on 10/21/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Upon arrival I was greeted by Adriana Sparkman, Lead Teacher. Ms. Wright arrived at approximately 10:00am. In classroom space 2, children transitioned from a large group meeting to outdoor play. Children put on rainboots and rain coats before transitioning outdoors. The facility is currently in the process of replacing the fence on the license playground space. Children from the Pre-K classroom are temporarily utilizing outdoor space near their classroom. Permission to play outside the fenced area is signed by parents upon enrollment. Children were observed riding tricycles, exploring bubbles and kicking and throwing balls of various sizes. In classroom space 1, children were exploring their environment through crawling, cruising and walking. Children explored mouthable toys, shook rattling toys and engaged in gross motor play in the classroom. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles for one (1) child were not dated accurately. One (1) was dated for 5/6/26 and two (2) bottles were dated for 5/5/26. The teacher stated the bottles were received today. 15A NCAC 18A .2804(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in classroom space 1. .0606(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A bottle warmer was observed in use in an area accessible to children in the classroom space 1. .0604(e) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 3/19/26, completed the Emergency Information form on 3/24/26. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1), hire date 3/19/26, signed the policy on 3/24/26. .0608(d)(1-4) Technical assistance was provided as follows: Item #533: The bottles were accurately labeled during the visit today. This is corrected. No further compliance action is needed at this time. Moving forward, plan to screen bottles as they come in to ensure they are labeled accurately. Item #892: The policy was posted during the visit today. This is corrected, no further corrective action is needed. Item #898: To reach compliance with this item, the bottle warmer must be moved to an area inaccessible to children. Per definition, inaccessible is five (5) feet or higher. The cords for the bottle warmer must be inaccessible as well. We discussed possible solutions such as purchasing a bottle warmer that has a longer cord or is battery operated so that it can sit on the refrigerator. Plan to refer to the manufacturer’s instructions to check that extension cords are able to be used with the product. Please note, bottles are not required to be warmed, per rule. Item #1035: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure staff complete the emergency information form on or before the first day of work. Item #1874: To reach compliance with this item, provide a statement that indicates how you will ensure new staff sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy prior to working with children. For example, you can state that staff will not be permitted to work without signing the policy upon entering the facility on their first day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/21/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License: The facility has elected to participate in the Quality Rating and Improvement System (QRIS): Pathways to the Stars. The facility has chosen Pathway 2: Classroom and Instructional Quality. I receive the Application for Reassessment for Rated License, Family and Community Engagement Standards, Facility Continuous Quality Improvement (CQI) plan, and Staff Information Sheet on 3/31/26. I received an updated Application on 4/13/26. The facility houses an NC Pre-K classroom. You are currently in your window for the ECERS-3 assessment. The rated license is evaluated as follows: Ratios and Enhanced Space: The facility currently follows reduced, enhanced ratios per rule .3209(b). The facility elects to follow minimum space requirements per rule .1401(f). Education: Lead Teacher Education: One (1) lead teacher meets requirements in rule .3212(c)(2) earning the distinction of a three (3) star Lead Teacher. One (1) lead teacher meets requirements in rule .3212 (e)(1) earning the distinction of a five (5) star Lead Teacher. Fifty percent (50%) of Lead Teachers meet the five (5) star requirements. Other Educators: The Administrator meets the requirements in rule .3211 (e)(3) earning the distinction of a five (5) star Administrator. Fifty percent (50%) of the Administrators, teachers and other educators meet the requirements for a five (5) star distinction for their relative position. The facility meets five (5) star education requirements. Education was verified via WORKS on 5/4/26. Please note, one (1) lead teacher must have a new evaluation since receiving a two year degree in Early Childhood Education. One (1) new teacher is in the process of registering in WORKS and submitting transcripts to be evaluated. Family and Community Engagement: The facility meets foundational practices outlined in rule .3219(b). The facility meets options from each category of engagement plus two (2) additional options. The Family and Community Engagement Standards form was provided to me via email on 3/31/26. The family handbook was reviewed during the visit today. The following checked standards require evidence before the license can be processed: -Foundational practice regarding families sharing cultural heritage. -C-3 -EL-2 -EL-5 -EO-3 -EO-5 Please submit evidence of these practices in order for the license to be processed. Continuous Quality Improvement (CQI): The CQI plan for all staff was not available for review during the visit today. You stated they are located in the Administrator’s office, off-site and were unable to be retrieved during the visit. In order to move forward with the Rated License, please plan to send me the copies of the CQI plans for staff. The CQI plan for the facility was provided to me via email on 3/31/26. This requirement is met. Curriculum and Assessment: The facility uses the Creative Curriculum for ages 0-5 years old. The facility uses Teaching Strategies Gold as the formative assessment tool for all ages served. This requirement is met. You stated the curriculum for the infant/toddler classroom has been purchased, however it has not arrived. The Administrator and all lead teachers have not completed training for the curriculum. This is a requirement in order to earn a five (5) star Rated License. Please send me copies of the training for the Administrator and Lead Teachers in order for the license to be processed. Training or Coaching/Mentoring: The Administrator and Lead Teachers will receive an additional five (5) hours of on-going training each year per rule .3205 (e)10&11. I was unable to assign a star rating to the facility at this time. Please provide the information stated above to complete the Rated License process. Please note, an additional visit may be needed to complete the process. We discussed all violations must be corrected before the Rated License can be processed. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/7/2026 Number Present: 21 Completed Date: 5/7/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:00 AM Time Out: 02:00 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. Due to connectivity issues, a hand written report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Wright was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was one hundred percent (100%) as of 5/4/26. The facility is operated by Asheville City Schools. Permit type – Five (5) star license, issued 2/27/26 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start, and Transportation. The last annual compliance visit was conducted on 5/14/25. The last fire drill was practiced on 4/30/26. The last lockdown drill was practiced on 3/26/26. The facility will need to conduct a shelter-in-place drill in June since you will be in operation. The last playground inspection was documented on 4/20/26. The last fire inspection was approved on 11/6/25. The last sanitation inspection was conducted on 1/28/26 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum Approved formative assessment is Teaching Strategies Gold. Lead water testing was completed on 7/16/24 without hazards. The Clean Classrooms for Carolina Kids website states the Lead Based Paint testing is complete, however the website states “no data available” under the Lead Based Paint tab. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey review by RTI”. Continue to work with RTI and the public school to complete required testing. The program is approved to provide transportation. You currently do not provide transportation for children on a regular basis. The program uses public school buses. 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. The tool was completed by Susanna Smith, Administrator, on 10/21/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Upon arrival I was greeted by Adriana Sparkman, Lead Teacher. Ms. Wright arrived at approximately 10:00am. In classroom space 2, children transitioned from a large group meeting to outdoor play. Children put on rainboots and rain coats before transitioning outdoors. The facility is currently in the process of replacing the fence on the license playground space. Children from the Pre-K classroom are temporarily utilizing outdoor space near their classroom. Permission to play outside the fenced area is signed by parents upon enrollment. Children were observed riding tricycles, exploring bubbles and kicking and throwing balls of various sizes. In classroom space 1, children were exploring their environment through crawling, cruising and walking. Children explored mouthable toys, shook rattling toys and engaged in gross motor play in the classroom. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles for one (1) child were not dated accurately. One (1) was dated for 5/6/26 and two (2) bottles were dated for 5/5/26. The teacher stated the bottles were received today. 15A NCAC 18A .2804(d) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in classroom space 1. .0606(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A bottle warmer was observed in use in an area accessible to children in the classroom space 1. .0604(e) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff, hire date 3/19/26, completed the Emergency Information form on 3/24/26. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1), hire date 3/19/26, signed the policy on 3/24/26. .0608(d)(1-4) Technical assistance was provided as follows: Item #533: The bottles were accurately labeled during the visit today. This is corrected. No further compliance action is needed at this time. Moving forward, plan to screen bottles as they come in to ensure they are labeled accurately. Item #892: The policy was posted during the visit today. This is corrected, no further corrective action is needed. Item #898: To reach compliance with this item, the bottle warmer must be moved to an area inaccessible to children. Per definition, inaccessible is five (5) feet or higher. The cords for the bottle warmer must be inaccessible as well. We discussed possible solutions such as purchasing a bottle warmer that has a longer cord or is battery operated so that it can sit on the refrigerator. Plan to refer to the manufacturer’s instructions to check that extension cords are able to be used with the product. Please note, bottles are not required to be warmed, per rule. Item #1035: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure staff complete the emergency information form on or before the first day of work. Item #1874: To reach compliance with this item, provide a statement that indicates how you will ensure new staff sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy prior to working with children. For example, you can state that staff will not be permitted to work without signing the policy upon entering the facility on their first day. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/21/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License: The facility has elected to participate in the Quality Rating and Improvement System (QRIS): Pathways to the Stars. The facility has chosen Pathway 2: Classroom and Instructional Quality. I receive the Application for Reassessment for Rated License, Family and Community Engagement Standards, Facility Continuous Quality Improvement (CQI) plan, and Staff Information Sheet on 3/31/26. I received an updated Application on 4/13/26. The facility houses an NC Pre-K classroom. You are currently in your window for the ECERS-3 assessment. The rated license is evaluated as follows: Ratios and Enhanced Space: The facility currently follows reduced, enhanced ratios per rule .3209(b). The facility elects to follow minimum space requirements per rule .1401(f). Education: Lead Teacher Education: One (1) lead teacher meets requirements in rule .3212(c)(2) earning the distinction of a three (3) star Lead Teacher. One (1) lead teacher meets requirements in rule .3212 (e)(1) earning the distinction of a five (5) star Lead Teacher. Fifty percent (50%) of Lead Teachers meet the five (5) star requirements. Other Educators: The Administrator meets the requirements in rule .3211 (e)(3) earning the distinction of a five (5) star Administrator. Fifty percent (50%) of the Administrators, teachers and other educators meet the requirements for a five (5) star distinction for their relative position. The facility meets five (5) star education requirements. Education was verified via WORKS on 5/4/26. Please note, one (1) lead teacher must have a new evaluation since receiving a two year degree in Early Childhood Education. One (1) new teacher is in the process of registering in WORKS and submitting transcripts to be evaluated. Family and Community Engagement: The facility meets foundational practices outlined in rule .3219(b). The facility meets options from each category of engagement plus two (2) additional options. The Family and Community Engagement Standards form was provided to me via email on 3/31/26. The family handbook was reviewed during the visit today. The following checked standards require evidence before the license can be processed: -Foundational practice regarding families sharing cultural heritage. -C-3 -EL-2 -EL-5 -EO-3 -EO-5 Please submit evidence of these practices in order for the license to be processed. Continuous Quality Improvement (CQI): The CQI plan for all staff was not available for review during the visit today. You stated they are located in the Administrator’s office, off-site and were unable to be retrieved during the visit. In order to move forward with the Rated License, please plan to send me the copies of the CQI plans for staff. The CQI plan for the facility was provided to me via email on 3/31/26. This requirement is met. Curriculum and Assessment: The facility uses the Creative Curriculum for ages 0-5 years old. The facility uses Teaching Strategies Gold as the formative assessment tool for all ages served. This requirement is met. You stated the curriculum for the infant/toddler classroom has been purchased, however it has not arrived. The Administrator and all lead teachers have not completed training for the curriculum. This is a requirement in order to earn a five (5) star Rated License. Please send me copies of the training for the Administrator and Lead Teachers in order for the license to be processed. Training or Coaching/Mentoring: The Administrator and Lead Teachers will receive an additional five (5) hours of on-going training each year per rule .3205 (e)10&11. I was unable to assign a star rating to the facility at this time. Please provide the information stated above to complete the Rated License process. Please note, an additional visit may be needed to complete the process. We discussed all violations must be corrected before the Rated License can be processed. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 12 Completed Date: 9/7/2023 Age: From 4 To 4 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 Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Wright was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 9/6/23. The facility is owned by the Asheville City School district. Permit type – Five (5) Star license issued 8/31/22 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements for transportation and NC Pre-K. The last annual compliance visit was conducted on 9/16/22. The last fire drill was practiced on 9/7/23. The last shelter-in-place drill was practiced on 3/8/23. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 8/15/22. The last sanitation inspection was conducted on 11/29/22 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility follows the public school’s Risk Management plan. The facility’s NC Pre-K Site Monitoring tool has not been completed for the 2023-2024 school year. Transportation was not able to be monitored today. The vehicles used to transport children were not on site. Ms. Wright stated that Emergency Information for children is present on the buses. The buses are maintained and inspected by the public school district. A date will be scheduled for monitoring transportation for all Asheville City Schools Preschools. There are fifteen (15) children enrolled. Two (2) children’s files were monitored including one (1) NC Pre-K child’s file. There are nine (9) staff. One (1) staff file was monitored today. There are no new staff. Upon arrival, I was greeted by Adriana Sparkman, Lead Teacher. Children were eating breakfast consisting of chicken biscuit, applesauce and milk. Children transitioned to the playground. While transitioning to the playground, a fire drill was conducted. Children and staff exhibited knowledge of procedures for a fire drill. The drill lasted approximately six (6) minutes. Once on the playground, children were observed digging in the sandbox, riding tricycles and drawing with sidewalk chalk. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. The drill lasted approximately one (1) minute. Because this is second week of school, teachers explained the purpose of a shelter-in-place drill and prepared children prior to conducting the drill. Teachers exhibited knowledge of the procedures involved in shelter-in-place drills. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 8/15/22. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted 3/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #106 Note: Plan to schedule and obtain a fire inspection immediately. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Item #1811 Note: A shelter-in-place drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 9/21/23 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.Marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed transportation monitoring. Moving forward, plan to include bus drivers on the Staff and Training Worksheet. A sample Staff and Training Worksheet was shared with you today, identifying the information required for bus drivers who are counted in ratio. Because the bus drivers are counted in ratio and are left alone with children in licensed child care, they are considered staff. Plan to add the names of the bus drivers to the Public School Off-Site Records Verification form. Plan to maintain a copy of the Emergency Information, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy Acknowledgement, and a copy of the First Aid/CPR certificate for each bus driver at all of your sites. Additionally, plan to include a copy of the Recognizing and Responding to Suspicions of Child Maltreatment training certificate and any other pertinent training certificates on site for your bus drivers who are counted in ratio. We discussed the possibility of conducting monitoring for transportation for all of your sites on one specified date. I will be in touch to schedule this visit. We discussed shelter-in-place and lock down drills. This facility operates on a school year schedule. Plan to schedule a shelter-in-place or lockdown drill in May/June and again in August/September to maintain compliance with this requirement while working around the summer break. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 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. Your facility has been placed in cohort 3. Your prep year is July 1. 2025- June 30, 2026. Your assessment year is July 1, 2026- June 30, 2027. Please visit https://ncrlap.org/ for information regarding Outreach Assessments and Pre-Year assessments as well as trainings and resources that will help you prepare for the assessment process. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 12 Completed Date: 9/7/2023 Age: From 4 To 4 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 Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Wright was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 9/6/23. The facility is owned by the Asheville City School district. Permit type – Five (5) Star license issued 8/31/22 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements for transportation and NC Pre-K. The last annual compliance visit was conducted on 9/16/22. The last fire drill was practiced on 9/7/23. The last shelter-in-place drill was practiced on 3/8/23. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 8/15/22. The last sanitation inspection was conducted on 11/29/22 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility follows the public school’s Risk Management plan. The facility’s NC Pre-K Site Monitoring tool has not been completed for the 2023-2024 school year. Transportation was not able to be monitored today. The vehicles used to transport children were not on site. Ms. Wright stated that Emergency Information for children is present on the buses. The buses are maintained and inspected by the public school district. A date will be scheduled for monitoring transportation for all Asheville City Schools Preschools. There are fifteen (15) children enrolled. Two (2) children’s files were monitored including one (1) NC Pre-K child’s file. There are nine (9) staff. One (1) staff file was monitored today. There are no new staff. Upon arrival, I was greeted by Adriana Sparkman, Lead Teacher. Children were eating breakfast consisting of chicken biscuit, applesauce and milk. Children transitioned to the playground. While transitioning to the playground, a fire drill was conducted. Children and staff exhibited knowledge of procedures for a fire drill. The drill lasted approximately six (6) minutes. Once on the playground, children were observed digging in the sandbox, riding tricycles and drawing with sidewalk chalk. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. The drill lasted approximately one (1) minute. Because this is second week of school, teachers explained the purpose of a shelter-in-place drill and prepared children prior to conducting the drill. Teachers exhibited knowledge of the procedures involved in shelter-in-place drills. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 8/15/22. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted 3/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #106 Note: Plan to schedule and obtain a fire inspection immediately. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Item #1811 Note: A shelter-in-place drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 9/21/23 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.Marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed transportation monitoring. Moving forward, plan to include bus drivers on the Staff and Training Worksheet. A sample Staff and Training Worksheet was shared with you today, identifying the information required for bus drivers who are counted in ratio. Because the bus drivers are counted in ratio and are left alone with children in licensed child care, they are considered staff. Plan to add the names of the bus drivers to the Public School Off-Site Records Verification form. Plan to maintain a copy of the Emergency Information, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy Acknowledgement, and a copy of the First Aid/CPR certificate for each bus driver at all of your sites. Additionally, plan to include a copy of the Recognizing and Responding to Suspicions of Child Maltreatment training certificate and any other pertinent training certificates on site for your bus drivers who are counted in ratio. We discussed the possibility of conducting monitoring for transportation for all of your sites on one specified date. I will be in touch to schedule this visit. We discussed shelter-in-place and lock down drills. This facility operates on a school year schedule. Plan to schedule a shelter-in-place or lockdown drill in May/June and again in August/September to maintain compliance with this requirement while working around the summer break. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 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. Your facility has been placed in cohort 3. Your prep year is July 1. 2025- June 30, 2026. Your assessment year is July 1, 2026- June 30, 2027. Please visit https://ncrlap.org/ for information regarding Outreach Assessments and Pre-Year assessments as well as trainings and resources that will help you prepare for the assessment process. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 12 Completed Date: 9/7/2023 Age: From 4 To 4 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 Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Wright was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 9/6/23. The facility is owned by the Asheville City School district. Permit type – Five (5) Star license issued 8/31/22 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements for transportation and NC Pre-K. The last annual compliance visit was conducted on 9/16/22. The last fire drill was practiced on 9/7/23. The last shelter-in-place drill was practiced on 3/8/23. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 8/15/22. The last sanitation inspection was conducted on 11/29/22 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility follows the public school’s Risk Management plan. The facility’s NC Pre-K Site Monitoring tool has not been completed for the 2023-2024 school year. Transportation was not able to be monitored today. The vehicles used to transport children were not on site. Ms. Wright stated that Emergency Information for children is present on the buses. The buses are maintained and inspected by the public school district. A date will be scheduled for monitoring transportation for all Asheville City Schools Preschools. There are fifteen (15) children enrolled. Two (2) children’s files were monitored including one (1) NC Pre-K child’s file. There are nine (9) staff. One (1) staff file was monitored today. There are no new staff. Upon arrival, I was greeted by Adriana Sparkman, Lead Teacher. Children were eating breakfast consisting of chicken biscuit, applesauce and milk. Children transitioned to the playground. While transitioning to the playground, a fire drill was conducted. Children and staff exhibited knowledge of procedures for a fire drill. The drill lasted approximately six (6) minutes. Once on the playground, children were observed digging in the sandbox, riding tricycles and drawing with sidewalk chalk. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. The drill lasted approximately one (1) minute. Because this is second week of school, teachers explained the purpose of a shelter-in-place drill and prepared children prior to conducting the drill. Teachers exhibited knowledge of the procedures involved in shelter-in-place drills. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 8/15/22. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted 3/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #106 Note: Plan to schedule and obtain a fire inspection immediately. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Item #1811 Note: A shelter-in-place drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 9/21/23 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.Marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed transportation monitoring. Moving forward, plan to include bus drivers on the Staff and Training Worksheet. A sample Staff and Training Worksheet was shared with you today, identifying the information required for bus drivers who are counted in ratio. Because the bus drivers are counted in ratio and are left alone with children in licensed child care, they are considered staff. Plan to add the names of the bus drivers to the Public School Off-Site Records Verification form. Plan to maintain a copy of the Emergency Information, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy Acknowledgement, and a copy of the First Aid/CPR certificate for each bus driver at all of your sites. Additionally, plan to include a copy of the Recognizing and Responding to Suspicions of Child Maltreatment training certificate and any other pertinent training certificates on site for your bus drivers who are counted in ratio. We discussed the possibility of conducting monitoring for transportation for all of your sites on one specified date. I will be in touch to schedule this visit. We discussed shelter-in-place and lock down drills. This facility operates on a school year schedule. Plan to schedule a shelter-in-place or lockdown drill in May/June and again in August/September to maintain compliance with this requirement while working around the summer break. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 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. Your facility has been placed in cohort 3. Your prep year is July 1. 2025- June 30, 2026. Your assessment year is July 1, 2026- June 30, 2027. Please visit https://ncrlap.org/ for information regarding Outreach Assessments and Pre-Year assessments as well as trainings and resources that will help you prepare for the assessment process. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 12 Completed Date: 9/7/2023 Age: From 4 To 4 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 Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Wright was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 9/6/23. The facility is owned by the Asheville City School district. Permit type – Five (5) Star license issued 8/31/22 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements for transportation and NC Pre-K. The last annual compliance visit was conducted on 9/16/22. The last fire drill was practiced on 9/7/23. The last shelter-in-place drill was practiced on 3/8/23. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 8/15/22. The last sanitation inspection was conducted on 11/29/22 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility follows the public school’s Risk Management plan. The facility’s NC Pre-K Site Monitoring tool has not been completed for the 2023-2024 school year. Transportation was not able to be monitored today. The vehicles used to transport children were not on site. Ms. Wright stated that Emergency Information for children is present on the buses. The buses are maintained and inspected by the public school district. A date will be scheduled for monitoring transportation for all Asheville City Schools Preschools. There are fifteen (15) children enrolled. Two (2) children’s files were monitored including one (1) NC Pre-K child’s file. There are nine (9) staff. One (1) staff file was monitored today. There are no new staff. Upon arrival, I was greeted by Adriana Sparkman, Lead Teacher. Children were eating breakfast consisting of chicken biscuit, applesauce and milk. Children transitioned to the playground. While transitioning to the playground, a fire drill was conducted. Children and staff exhibited knowledge of procedures for a fire drill. The drill lasted approximately six (6) minutes. Once on the playground, children were observed digging in the sandbox, riding tricycles and drawing with sidewalk chalk. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. The drill lasted approximately one (1) minute. Because this is second week of school, teachers explained the purpose of a shelter-in-place drill and prepared children prior to conducting the drill. Teachers exhibited knowledge of the procedures involved in shelter-in-place drills. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 8/15/22. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted 3/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #106 Note: Plan to schedule and obtain a fire inspection immediately. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Item #1811 Note: A shelter-in-place drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 9/21/23 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.Marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed transportation monitoring. Moving forward, plan to include bus drivers on the Staff and Training Worksheet. A sample Staff and Training Worksheet was shared with you today, identifying the information required for bus drivers who are counted in ratio. Because the bus drivers are counted in ratio and are left alone with children in licensed child care, they are considered staff. Plan to add the names of the bus drivers to the Public School Off-Site Records Verification form. Plan to maintain a copy of the Emergency Information, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy Acknowledgement, and a copy of the First Aid/CPR certificate for each bus driver at all of your sites. Additionally, plan to include a copy of the Recognizing and Responding to Suspicions of Child Maltreatment training certificate and any other pertinent training certificates on site for your bus drivers who are counted in ratio. We discussed the possibility of conducting monitoring for transportation for all of your sites on one specified date. I will be in touch to schedule this visit. We discussed shelter-in-place and lock down drills. This facility operates on a school year schedule. Plan to schedule a shelter-in-place or lockdown drill in May/June and again in August/September to maintain compliance with this requirement while working around the summer break. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 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. Your facility has been placed in cohort 3. Your prep year is July 1. 2025- June 30, 2026. Your assessment year is July 1, 2026- June 30, 2027. Please visit https://ncrlap.org/ for information regarding Outreach Assessments and Pre-Year assessments as well as trainings and resources that will help you prepare for the assessment process. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 12 Completed Date: 9/7/2023 Age: From 4 To 4 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 Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Wright was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 9/6/23. The facility is owned by the Asheville City School district. Permit type – Five (5) Star license issued 8/31/22 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements for transportation and NC Pre-K. The last annual compliance visit was conducted on 9/16/22. The last fire drill was practiced on 9/7/23. The last shelter-in-place drill was practiced on 3/8/23. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 8/15/22. The last sanitation inspection was conducted on 11/29/22 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility follows the public school’s Risk Management plan. The facility’s NC Pre-K Site Monitoring tool has not been completed for the 2023-2024 school year. Transportation was not able to be monitored today. The vehicles used to transport children were not on site. Ms. Wright stated that Emergency Information for children is present on the buses. The buses are maintained and inspected by the public school district. A date will be scheduled for monitoring transportation for all Asheville City Schools Preschools. There are fifteen (15) children enrolled. Two (2) children’s files were monitored including one (1) NC Pre-K child’s file. There are nine (9) staff. One (1) staff file was monitored today. There are no new staff. Upon arrival, I was greeted by Adriana Sparkman, Lead Teacher. Children were eating breakfast consisting of chicken biscuit, applesauce and milk. Children transitioned to the playground. While transitioning to the playground, a fire drill was conducted. Children and staff exhibited knowledge of procedures for a fire drill. The drill lasted approximately six (6) minutes. Once on the playground, children were observed digging in the sandbox, riding tricycles and drawing with sidewalk chalk. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. The drill lasted approximately one (1) minute. Because this is second week of school, teachers explained the purpose of a shelter-in-place drill and prepared children prior to conducting the drill. Teachers exhibited knowledge of the procedures involved in shelter-in-place drills. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 8/15/22. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted 3/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #106 Note: Plan to schedule and obtain a fire inspection immediately. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Item #1811 Note: A shelter-in-place drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 9/21/23 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.Marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed transportation monitoring. Moving forward, plan to include bus drivers on the Staff and Training Worksheet. A sample Staff and Training Worksheet was shared with you today, identifying the information required for bus drivers who are counted in ratio. Because the bus drivers are counted in ratio and are left alone with children in licensed child care, they are considered staff. Plan to add the names of the bus drivers to the Public School Off-Site Records Verification form. Plan to maintain a copy of the Emergency Information, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy Acknowledgement, and a copy of the First Aid/CPR certificate for each bus driver at all of your sites. Additionally, plan to include a copy of the Recognizing and Responding to Suspicions of Child Maltreatment training certificate and any other pertinent training certificates on site for your bus drivers who are counted in ratio. We discussed the possibility of conducting monitoring for transportation for all of your sites on one specified date. I will be in touch to schedule this visit. We discussed shelter-in-place and lock down drills. This facility operates on a school year schedule. Plan to schedule a shelter-in-place or lockdown drill in May/June and again in August/September to maintain compliance with this requirement while working around the summer break. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 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. Your facility has been placed in cohort 3. Your prep year is July 1. 2025- June 30, 2026. Your assessment year is July 1, 2026- June 30, 2027. Please visit https://ncrlap.org/ for information regarding Outreach Assessments and Pre-Year assessments as well as trainings and resources that will help you prepare for the assessment process. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 12 Completed Date: 9/7/2023 Age: From 4 To 4 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 Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Wright was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 9/6/23. The facility is owned by the Asheville City School district. Permit type – Five (5) Star license issued 8/31/22 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements for transportation and NC Pre-K. The last annual compliance visit was conducted on 9/16/22. The last fire drill was practiced on 9/7/23. The last shelter-in-place drill was practiced on 3/8/23. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 8/15/22. The last sanitation inspection was conducted on 11/29/22 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility follows the public school’s Risk Management plan. The facility’s NC Pre-K Site Monitoring tool has not been completed for the 2023-2024 school year. Transportation was not able to be monitored today. The vehicles used to transport children were not on site. Ms. Wright stated that Emergency Information for children is present on the buses. The buses are maintained and inspected by the public school district. A date will be scheduled for monitoring transportation for all Asheville City Schools Preschools. There are fifteen (15) children enrolled. Two (2) children’s files were monitored including one (1) NC Pre-K child’s file. There are nine (9) staff. One (1) staff file was monitored today. There are no new staff. Upon arrival, I was greeted by Adriana Sparkman, Lead Teacher. Children were eating breakfast consisting of chicken biscuit, applesauce and milk. Children transitioned to the playground. While transitioning to the playground, a fire drill was conducted. Children and staff exhibited knowledge of procedures for a fire drill. The drill lasted approximately six (6) minutes. Once on the playground, children were observed digging in the sandbox, riding tricycles and drawing with sidewalk chalk. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. The drill lasted approximately one (1) minute. Because this is second week of school, teachers explained the purpose of a shelter-in-place drill and prepared children prior to conducting the drill. Teachers exhibited knowledge of the procedures involved in shelter-in-place drills. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 8/15/22. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted 3/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #106 Note: Plan to schedule and obtain a fire inspection immediately. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Item #1811 Note: A shelter-in-place drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 9/21/23 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.Marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed transportation monitoring. Moving forward, plan to include bus drivers on the Staff and Training Worksheet. A sample Staff and Training Worksheet was shared with you today, identifying the information required for bus drivers who are counted in ratio. Because the bus drivers are counted in ratio and are left alone with children in licensed child care, they are considered staff. Plan to add the names of the bus drivers to the Public School Off-Site Records Verification form. Plan to maintain a copy of the Emergency Information, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy Acknowledgement, and a copy of the First Aid/CPR certificate for each bus driver at all of your sites. Additionally, plan to include a copy of the Recognizing and Responding to Suspicions of Child Maltreatment training certificate and any other pertinent training certificates on site for your bus drivers who are counted in ratio. We discussed the possibility of conducting monitoring for transportation for all of your sites on one specified date. I will be in touch to schedule this visit. We discussed shelter-in-place and lock down drills. This facility operates on a school year schedule. Plan to schedule a shelter-in-place or lockdown drill in May/June and again in August/September to maintain compliance with this requirement while working around the summer break. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 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. Your facility has been placed in cohort 3. Your prep year is July 1. 2025- June 30, 2026. Your assessment year is July 1, 2026- June 30, 2027. Please visit https://ncrlap.org/ for information regarding Outreach Assessments and Pre-Year assessments as well as trainings and resources that will help you prepare for the assessment process. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 12 Completed Date: 9/7/2023 Age: From 4 To 4 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 Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Wright was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 9/6/23. The facility is owned by the Asheville City School district. Permit type – Five (5) Star license issued 8/31/22 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements for transportation and NC Pre-K. The last annual compliance visit was conducted on 9/16/22. The last fire drill was practiced on 9/7/23. The last shelter-in-place drill was practiced on 3/8/23. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 8/15/22. The last sanitation inspection was conducted on 11/29/22 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility follows the public school’s Risk Management plan. The facility’s NC Pre-K Site Monitoring tool has not been completed for the 2023-2024 school year. Transportation was not able to be monitored today. The vehicles used to transport children were not on site. Ms. Wright stated that Emergency Information for children is present on the buses. The buses are maintained and inspected by the public school district. A date will be scheduled for monitoring transportation for all Asheville City Schools Preschools. There are fifteen (15) children enrolled. Two (2) children’s files were monitored including one (1) NC Pre-K child’s file. There are nine (9) staff. One (1) staff file was monitored today. There are no new staff. Upon arrival, I was greeted by Adriana Sparkman, Lead Teacher. Children were eating breakfast consisting of chicken biscuit, applesauce and milk. Children transitioned to the playground. While transitioning to the playground, a fire drill was conducted. Children and staff exhibited knowledge of procedures for a fire drill. The drill lasted approximately six (6) minutes. Once on the playground, children were observed digging in the sandbox, riding tricycles and drawing with sidewalk chalk. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. The drill lasted approximately one (1) minute. Because this is second week of school, teachers explained the purpose of a shelter-in-place drill and prepared children prior to conducting the drill. Teachers exhibited knowledge of the procedures involved in shelter-in-place drills. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 8/15/22. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted 3/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #106 Note: Plan to schedule and obtain a fire inspection immediately. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Item #1811 Note: A shelter-in-place drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 9/21/23 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.Marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed transportation monitoring. Moving forward, plan to include bus drivers on the Staff and Training Worksheet. A sample Staff and Training Worksheet was shared with you today, identifying the information required for bus drivers who are counted in ratio. Because the bus drivers are counted in ratio and are left alone with children in licensed child care, they are considered staff. Plan to add the names of the bus drivers to the Public School Off-Site Records Verification form. Plan to maintain a copy of the Emergency Information, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy Acknowledgement, and a copy of the First Aid/CPR certificate for each bus driver at all of your sites. Additionally, plan to include a copy of the Recognizing and Responding to Suspicions of Child Maltreatment training certificate and any other pertinent training certificates on site for your bus drivers who are counted in ratio. We discussed the possibility of conducting monitoring for transportation for all of your sites on one specified date. I will be in touch to schedule this visit. We discussed shelter-in-place and lock down drills. This facility operates on a school year schedule. Plan to schedule a shelter-in-place or lockdown drill in May/June and again in August/September to maintain compliance with this requirement while working around the summer break. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 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. Your facility has been placed in cohort 3. Your prep year is July 1. 2025- June 30, 2026. Your assessment year is July 1, 2026- June 30, 2027. Please visit https://ncrlap.org/ for information regarding Outreach Assessments and Pre-Year assessments as well as trainings and resources that will help you prepare for the assessment process. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LUCY S. HERRING PRE-K Facility ID: 11000923 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/7/2023 Number Present: 12 Completed Date: 9/7/2023 Age: From 4 To 4 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 Kaitlyn Marshall, Child Care Consultant and also signed by LeeAnn Wright, Preschool Operations Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Wright was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition, medication and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 9/6/23. The facility is owned by the Asheville City School district. Permit type – Five (5) Star license issued 8/31/22 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements for transportation and NC Pre-K. The last annual compliance visit was conducted on 9/16/22. The last fire drill was practiced on 9/7/23. The last shelter-in-place drill was practiced on 3/8/23. The last playground inspection was documented on 8/30/23. The last fire inspection was approved on 8/15/22. The last sanitation inspection was conducted on 11/29/22 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility follows the public school’s Risk Management plan. The facility’s NC Pre-K Site Monitoring tool has not been completed for the 2023-2024 school year. Transportation was not able to be monitored today. The vehicles used to transport children were not on site. Ms. Wright stated that Emergency Information for children is present on the buses. The buses are maintained and inspected by the public school district. A date will be scheduled for monitoring transportation for all Asheville City Schools Preschools. There are fifteen (15) children enrolled. Two (2) children’s files were monitored including one (1) NC Pre-K child’s file. There are nine (9) staff. One (1) staff file was monitored today. There are no new staff. Upon arrival, I was greeted by Adriana Sparkman, Lead Teacher. Children were eating breakfast consisting of chicken biscuit, applesauce and milk. Children transitioned to the playground. While transitioning to the playground, a fire drill was conducted. Children and staff exhibited knowledge of procedures for a fire drill. The drill lasted approximately six (6) minutes. Once on the playground, children were observed digging in the sandbox, riding tricycles and drawing with sidewalk chalk. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. The drill lasted approximately one (1) minute. Because this is second week of school, teachers explained the purpose of a shelter-in-place drill and prepared children prior to conducting the drill. Teachers exhibited knowledge of the procedures involved in shelter-in-place drills. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was approved on 8/15/22. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted 3/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #106 Note: Plan to schedule and obtain a fire inspection immediately. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) 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. Item #1811 Note: A shelter-in-place drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 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 9/21/23 Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.Marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive 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 within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed transportation monitoring. Moving forward, plan to include bus drivers on the Staff and Training Worksheet. A sample Staff and Training Worksheet was shared with you today, identifying the information required for bus drivers who are counted in ratio. Because the bus drivers are counted in ratio and are left alone with children in licensed child care, they are considered staff. Plan to add the names of the bus drivers to the Public School Off-Site Records Verification form. Plan to maintain a copy of the Emergency Information, Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy Acknowledgement, and a copy of the First Aid/CPR certificate for each bus driver at all of your sites. Additionally, plan to include a copy of the Recognizing and Responding to Suspicions of Child Maltreatment training certificate and any other pertinent training certificates on site for your bus drivers who are counted in ratio. We discussed the possibility of conducting monitoring for transportation for all of your sites on one specified date. I will be in touch to schedule this visit. We discussed shelter-in-place and lock down drills. This facility operates on a school year schedule. Plan to schedule a shelter-in-place or lockdown drill in May/June and again in August/September to maintain compliance with this requirement while working around the summer break. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. 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. Your facility has been placed in cohort 3. Your prep year is July 1. 2025- June 30, 2026. Your assessment year is July 1, 2026- June 30, 2027. Please visit https://ncrlap.org/ for information regarding Outreach Assessments and Pre-Year assessments as well as trainings and resources that will help you prepare for the assessment process. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times