MT. Carmel Child Enrichment Center

10A NCAC 09 .0510 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 32 Completed Date: 4/22/2026 Age: From 3 To 5 Total Minutes: 213 Time In: 10:40 AM Time Out: 02:13 PM Time In: Time Out: List to Use: Center Type Of Visit: ERS Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during an ERS visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, and meets reduced ratios. The program applied for the Rated license assessment on 3/3/26. The program received ECERS-3 on 3/30/26 and the score was 5.21. The Program received SACERS-U on 3/30/26and the score was 5.41. Upon arrival, I greeted Mr. Smith. Walk-through: During today’s visit, space #1 (1A and 1B) and space #2 were used. School-age children were not present. The children in space #1 and #2 played on the playground. They engaged in gross motor play with swings, sand play, slides and a climber. Water was offered on the playground. After transitioning to the classroom, children had group activity, then headed to the gym to have lunch. Children had mozzarella sticks with breading, slices oranges, bananas, carrot sticks and milk for lunch. Children used common bathroom before naptime. Staff member led stretching/yoga activity while children waited for their turns for the bathroom. The following ERS items were discussed and/or monitored during today’s visit: ECERS-3 Item 10 indicator 3.2 – Health Practice The report indicated that cots were stacked on top of one another when stored and touched the bottom of other cots. Per 15A NCAC 18A .2820 STORAGE (f), children’s personal items shall not come into contact with stored items belonging to other children. The program uses full-elastic fitted cot sheets. When cots are stacked for storage, the sides of the fitted sheets may loosen and hang down, potentially contacting the cot beneath. This can be prevented by pulling the fitted sheets toward the center of the cot, keeping the sides tight while allowing looseness in the middle during storage. For a more permanent solution, sheet fasteners may be used to keep the sheets securely in place. However, ensure that any clips or fasteners do not pose a choking hazard for children under three (3) years of age. Item 20 indicator 5.1, 5.3 and 5.4 – blocks The report for indicator 5.1 indicated that there were not enough blocks for three (3) children to build sizable structures. 10A NCAC 09 .0510 ACTIVITY AREAS (d)(1) requires the materials and equipment in an activity area to be in sufficient quantity to allow at least three (3) children to use the area. Indicator 5.1: block area in space #2 is large enough for more than three (3) children to play, and many accessories were accessible. The quantities of unit blocks are not licensing requirements. However, increasing the amount of wooden unit blocks may extend creativities of children and reduce conflict over the use. The report for Indicator 5.3 noted that manipulative materials were present in the block area. While this is not a licensing requirement, it is important to understand how materials are classified for ERS purposes. For example, interlocking materials are considered manipulative, and dollhouses are categorized as dramatic play accessories. Materials that are not related to block play may limit space and opportunities for creative block building. Gaining a clear understanding of material classifications can be beneficial for future ERS assessments. Item 25 indicator 3.4 – understanding written numbers The report stated that an example of a teacher helping children understand the relationship between number and quantity was not observed. Not observing an example during the ECERS-3 assessment does not necessarily indicate that activities involving number relations do not occur. Examples of such activities include matching written numbers with corresponding quantities, practicing one-to-one correspondence, and reviewing the number that represents the total. It is important for children to develop a comprehensive understanding of numbers, including verbal counting, written number recognition, and an understanding of quantities as a whole. I observed many math related items in the classroom, including but not limited to written numbers on shelves and walls, stacking cubes, parquetry blocks, number ordering games and calendar. However, specific items that promote understanding of quantities and matching written numbers could not be found. Materials, such as number peg puzzles, stacking cube with number cards, number match key & lock are recommended. A simple homemade activity to promote matching quantities with written numbers is the use of dot cards. The teacher prepares a set of cards showing different quantities using dots (for example, 1–10) and a corresponding set of cards with written numbers. Children are encouraged to count the dots on each card and match it to the correct number card. This activity supports one-to-one correspondence, number recognition, and early counting skills, and can be easily adapted using materials such as index cards, markers, or stickers. SACERS-U Item 1 indicator 5.1 and 5.2 – indoor space The report for indicator 5.1 stated that not enough furnishings for various types of play at the same time. The staff member for the school-age program was interviewed regarding classroom activities. The staff member stated that science materials were prepared at the half-circle activity table on the day of observation. A few children approached the table with additional materials; however, the staff member determined that there was not enough space to accommodate these materials. As a result, a timer was used to allow children to take turns. The classroom included a half-circle table, one (1) small table positioned against a wall, and a large carpeted area near bins of materials. There was sufficient space available for children to engage with a variety of materials both on the floor and at the tables. Staff members are encouraged to remain flexible and make decisions that support children’s needs while maintaining a safe environment. When space is available, staff may guide children to use alternate areas for play and/or continue to use a timer to facilitate turn-taking. The report for indicator 5.2 stated lack of windows and natural light. Though accessible windows and natural light is best practice, this is not a licensing requirements. Item 17 indicator 3.5 – meals and snacks The report stated that the program did not follow sanitation procedures for sanitation. As indicated in 15A NCAC 18A .2822 TOYS, EQUIPMENT AND FURNITURE, child care center shall clean toys, equipment and furniture by first scrub them in soapy water, then rinse them in clean water, then soak them in a sanitizing solution for at least two (2) minutes and airdried. I was not present during after-school care. I interviewed the staff member for school-age program. Per interview, the staff member stated that he/she forgot to use soapy water before using sanitizer at the time of observation. In the classroom, there were soapy water solution, sanitizer and disinfectant present. Sanitizing process for preschool was observed before lunch. Cooking staff conducted the cleaning of all tables. He/she used soapy water, wiped the tables clean, sprayed sanitizer and airdried them. Item 25 indicator 5.2 and 5.3 – science/nature activities Report stated that there were no classroom plants or pets to care for. Additionally, long-term nature activities were not offered to the children twice each year. Mr. Smith and the staff member for school-age program stated that they work with NC State Extension Center master gardeners. They come to the center once a month and facilitate gardening activities. Additionally, school-age children take multiple field trips during summer months to work with NC State Extension Center and additional research programs. In the past, children created seed bombs, planting bulbs, study pollinators, touring gardens and many more. 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 9995 A violation was found for which there is no item number. Per staff interview, the staff member for school-age care stated that he/she did not use soapy water to clean the table before using sanitizer on 3/30/26. Consultation is provided as follows: Staff/child ratios: Mr. Smith and I discussed HB 412/SL 2025-36, specially regarding staff/child ratios. Ms. Smith intends to adopt increased staff/child ratios. Per SL2025-36, programs are permitted to adopt 1:8 staff/child ratio with group size of twenty (20) for children 2-3 year of age. Mt. Carmel Child Enrichment Center currently follow reduced staff/child ratios (highest voluntary enhanced requirements). However, pathway 1 – Program Assessment Pathway requires minimum of voluntary enhanced ratios for five-star programs. Child care center operates under voluntary enhanced requirements; centers are permitted to adopt 1:9 staff/child ratios with maximum group size of twenty (20). Children ages two (2) and three (3) are currently cared in space #1 – approved for a total of twenty-one (21) children. When the room is divided into two (2) spaces, 1A is approved for eleven (11) children and 1B for ten (10) children. The maximum capacity of the center is one-hundred (100) and the change in staff/child ratios for children two (2) and three (3) years of age will not affect the number. Per building inspection, there are enough toilets to accommodate increased number of children. Please submit a written request to me regarding the following, if you choose to proceed: • Requesting restriction – change from highest voluntary enhanced ratios (reduced ratios) to voluntary enhanced ratios. • Your intention to adopt 1:9 ratios with maximum group size of twenty (20) for children two (2) to three (3) years of age. Please mark and write correct staff/child ratios on the Classroom Staff to Child Ratio form. Rated License Assessment: Due to all violations being corrected during today’s visit, I will proceed with the Rated License Assessment. Based on verification of requirements in the Program Assessment pathway, .3204 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING Star Level Assessment for Child Care Centers form was reviewed with Mr. Smith. The form was signed. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/22/2026 Number Present: 32 Completed Date: 4/22/2026 Age: From 3 To 5 Total Minutes: 213 Time In: 10:40 AM Time Out: 02:13 PM Time In: Time Out: List to Use: Center Type Of Visit: ERS Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during an ERS visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, meets enhanced space, children under 2 ½ years old in rooms with direct exits only, and meets reduced ratios. The program applied for the Rated license assessment on 3/3/26. The program received ECERS-3 on 3/30/26 and the score was 5.21. The Program received SACERS-U on 3/30/26and the score was 5.41. Upon arrival, I greeted Mr. Smith. Walk-through: During today’s visit, space #1 (1A and 1B) and space #2 were used. School-age children were not present. The children in space #1 and #2 played on the playground. They engaged in gross motor play with swings, sand play, slides and a climber. Water was offered on the playground. After transitioning to the classroom, children had group activity, then headed to the gym to have lunch. Children had mozzarella sticks with breading, slices oranges, bananas, carrot sticks and milk for lunch. Children used common bathroom before naptime. Staff member led stretching/yoga activity while children waited for their turns for the bathroom. The following ERS items were discussed and/or monitored during today’s visit: ECERS-3 Item 10 indicator 3.2 – Health Practice The report indicated that cots were stacked on top of one another when stored and touched the bottom of other cots. Per 15A NCAC 18A .2820 STORAGE (f), children’s personal items shall not come into contact with stored items belonging to other children. The program uses full-elastic fitted cot sheets. When cots are stacked for storage, the sides of the fitted sheets may loosen and hang down, potentially contacting the cot beneath. This can be prevented by pulling the fitted sheets toward the center of the cot, keeping the sides tight while allowing looseness in the middle during storage. For a more permanent solution, sheet fasteners may be used to keep the sheets securely in place. However, ensure that any clips or fasteners do not pose a choking hazard for children under three (3) years of age. Item 20 indicator 5.1, 5.3 and 5.4 – blocks The report for indicator 5.1 indicated that there were not enough blocks for three (3) children to build sizable structures. 10A NCAC 09 .0510 ACTIVITY AREAS (d)(1) requires the materials and equipment in an activity area to be in sufficient quantity to allow at least three (3) children to use the area. Indicator 5.1: block area in space #2 is large enough for more than three (3) children to play, and many accessories were accessible. The quantities of unit blocks are not licensing requirements. However, increasing the amount of wooden unit blocks may extend creativities of children and reduce conflict over the use. The report for Indicator 5.3 noted that manipulative materials were present in the block area. While this is not a licensing requirement, it is important to understand how materials are classified for ERS purposes. For example, interlocking materials are considered manipulative, and dollhouses are categorized as dramatic play accessories. Materials that are not related to block play may limit space and opportunities for creative block building. Gaining a clear understanding of material classifications can be beneficial for future ERS assessments. Item 25 indicator 3.4 – understanding written numbers The report stated that an example of a teacher helping children understand the relationship between number and quantity was not observed. Not observing an example during the ECERS-3 assessment does not necessarily indicate that activities involving number relations do not occur. Examples of such activities include matching written numbers with corresponding quantities, practicing one-to-one correspondence, and reviewing the number that represents the total. It is important for children to develop a comprehensive understanding of numbers, including verbal counting, written number recognition, and an understanding of quantities as a whole. I observed many math related items in the classroom, including but not limited to written numbers on shelves and walls, stacking cubes, parquetry blocks, number ordering games and calendar. However, specific items that promote understanding of quantities and matching written numbers could not be found. Materials, such as number peg puzzles, stacking cube with number cards, number match key & lock are recommended. A simple homemade activity to promote matching quantities with written numbers is the use of dot cards. The teacher prepares a set of cards showing different quantities using dots (for example, 1–10) and a corresponding set of cards with written numbers. Children are encouraged to count the dots on each card and match it to the correct number card. This activity supports one-to-one correspondence, number recognition, and early counting skills, and can be easily adapted using materials such as index cards, markers, or stickers. SACERS-U Item 1 indicator 5.1 and 5.2 – indoor space The report for indicator 5.1 stated that not enough furnishings for various types of play at the same time. The staff member for the school-age program was interviewed regarding classroom activities. The staff member stated that science materials were prepared at the half-circle activity table on the day of observation. A few children approached the table with additional materials; however, the staff member determined that there was not enough space to accommodate these materials. As a result, a timer was used to allow children to take turns. The classroom included a half-circle table, one (1) small table positioned against a wall, and a large carpeted area near bins of materials. There was sufficient space available for children to engage with a variety of materials both on the floor and at the tables. Staff members are encouraged to remain flexible and make decisions that support children’s needs while maintaining a safe environment. When space is available, staff may guide children to use alternate areas for play and/or continue to use a timer to facilitate turn-taking. The report for indicator 5.2 stated lack of windows and natural light. Though accessible windows and natural light is best practice, this is not a licensing requirements. Item 17 indicator 3.5 – meals and snacks The report stated that the program did not follow sanitation procedures for sanitation. As indicated in 15A NCAC 18A .2822 TOYS, EQUIPMENT AND FURNITURE, child care center shall clean toys, equipment and furniture by first scrub them in soapy water, then rinse them in clean water, then soak them in a sanitizing solution for at least two (2) minutes and airdried. I was not present during after-school care. I interviewed the staff member for school-age program. Per interview, the staff member stated that he/she forgot to use soapy water before using sanitizer at the time of observation. In the classroom, there were soapy water solution, sanitizer and disinfectant present. Sanitizing process for preschool was observed before lunch. Cooking staff conducted the cleaning of all tables. He/she used soapy water, wiped the tables clean, sprayed sanitizer and airdried them. Item 25 indicator 5.2 and 5.3 – science/nature activities Report stated that there were no classroom plants or pets to care for. Additionally, long-term nature activities were not offered to the children twice each year. Mr. Smith and the staff member for school-age program stated that they work with NC State Extension Center master gardeners. They come to the center once a month and facilitate gardening activities. Additionally, school-age children take multiple field trips during summer months to work with NC State Extension Center and additional research programs. In the past, children created seed bombs, planting bulbs, study pollinators, touring gardens and many more. 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 9995 A violation was found for which there is no item number. Per staff interview, the staff member for school-age care stated that he/she did not use soapy water to clean the table before using sanitizer on 3/30/26. Consultation is provided as follows: Staff/child ratios: Mr. Smith and I discussed HB 412/SL 2025-36, specially regarding staff/child ratios. Ms. Smith intends to adopt increased staff/child ratios. Per SL2025-36, programs are permitted to adopt 1:8 staff/child ratio with group size of twenty (20) for children 2-3 year of age. Mt. Carmel Child Enrichment Center currently follow reduced staff/child ratios (highest voluntary enhanced requirements). However, pathway 1 – Program Assessment Pathway requires minimum of voluntary enhanced ratios for five-star programs. Child care center operates under voluntary enhanced requirements; centers are permitted to adopt 1:9 staff/child ratios with maximum group size of twenty (20). Children ages two (2) and three (3) are currently cared in space #1 – approved for a total of twenty-one (21) children. When the room is divided into two (2) spaces, 1A is approved for eleven (11) children and 1B for ten (10) children. The maximum capacity of the center is one-hundred (100) and the change in staff/child ratios for children two (2) and three (3) years of age will not affect the number. Per building inspection, there are enough toilets to accommodate increased number of children. Please submit a written request to me regarding the following, if you choose to proceed: • Requesting restriction – change from highest voluntary enhanced ratios (reduced ratios) to voluntary enhanced ratios. • Your intention to adopt 1:9 ratios with maximum group size of twenty (20) for children two (2) to three (3) years of age. Please mark and write correct staff/child ratios on the Classroom Staff to Child Ratio form. Rated License Assessment: Due to all violations being corrected during today’s visit, I will proceed with the Rated License Assessment. Based on verification of requirements in the Program Assessment pathway, .3204 section of the child care rules, a five-star license has been earned. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by April 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING Star Level Assessment for Child Care Centers form was reviewed with Mr. Smith. The form was signed. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/18/2026 Number Present: 25 Completed Date: 3/18/2026 Age: From 3 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc., is current/active as of 3/16/26. Permit type – five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/2/25. The last fire drill was practiced on 2/9/26. The last lockdown drill was practiced on 12/8/25. Mr. Smith plans to conduct a drill this month. The last playground inspection was documented on 3/10/26. The last fire inspection was approved on 3/31/25. The last sanitation inspection was conducted on 9/19/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing was completed and exempt from further testing. Eleven (11) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Walk-through: Mr. Smith accompanied me to the walk-through. In space #1 (Discovery), a group of eleven (11) children, three-to-four years of age were present with two (2) staff members. Three (3) additional children, all three (3) years of age from space #7 (Imagination) with one (1) staff member joined the group during free play. The children dressed up in the housekeeping center, played with dinosaurs in block area, created art at the tables and played with sand tables. Staff members sat with different groups of children and conversed with them. Three (3) prescription medications and two (2) over-the-counter lotion was maintained in a backpack. One (1) action plan for Auvi-Q was missing a date the plan was filled out. In space #2 (Creativity), a group of eleven (11) children, four-to-five years of age were present with two (2) staff members. The children played with car tracks, puzzles, blocks, art materials and water table. Space #3 (Red Room) and #5 (Yellow Room) are used by the school-age children. No school-age children were present during today’s visit. Space #4 (Blue Room) and space #6 were not used currently. Due to recently added classrooms - space #6 and #7, gym is designated as space #8 moving forward. No safety hazards were observed in the gym. Playgrounds: Two (2) playgrounds were monitored. Depth of loose surfacing could not be measured due to frozen ground. Mr. Smith and I discussed thin, 1 ½ inch long crack on the slide on the pre-K playground. Before the crack expands or extends, it is strongly recommended to be sealed. Meals: Lunch was observed during today’s visit. The program uses Brightwheel app to post the menu. Mozzarella sticks, carrots, ranch, cantaloupes, and milk were served and the items were accurately listed on the Brightwheel. Supervision during meal time was adequate. Rest time: Rest time was monitored. Lighting and spacing among cots were sufficient in each classroom. Staff files: Staff and Training Worksheet listed ten (10) staff members while The ABCMS system listed eleven (11). We discussed one (1) staff member listed as a lead teacher on the roster. Mr. Smith stated that this staff member was going to work during summer as a group leader. The person went ahead and completed the criminal background check but has not started working for the program yet. Therefore, the staff member was not listed on the Staff and Training Worksheet reviewed during today’s visit. The last completion dates of the Health and Safety Training for staff members were added to the worksheet by Mr. Smith during the visit along with a few additional changes. The following discrepancies were noted: M. Maynor: On-going training for 6/7/24 – 6/6/25 was zero (0) hour with five (5) carried over hours. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Therefore, five (5) hours of carry-over hours was determined to be sufficient. C. McLaughlin: On-going training for 4/11/24 - 4/10/25 was seven (7) hours for this staff member. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Based on the pro-rated monthly requirements, the staff member needed to complete approximately four (4) hours of training during the last period. Therefore, seven (7) hours was determined to be sufficient. Children’s files: Eight (8) children’s files were reviewed. Rated License Assessment: Application for the Rated License Assessment was submitted by Mr. Smith via email on March 3, 2026. Program Assessment Pathway was chosen. Self-study: Verification of Self-Study was submitted along with the application for the Rated License Assessment and reviewed prior to today’s visit. Self- study completed by two (2) lead teachers were reviewed during today’s visit. Family and Community Engagement Standards: Parent Handbook was shared by Mr. Smith via email along with the application for the Rated License Assessment, and the evidence of all foundational practices and four (4) additional options, with at least one (1) from each category of engagement was verified prior to today’s visit. Continuous Quality Improvements (CQI) Standards CQI for seven (7) staff members were submitted along with the application for the Rated License Assessment. Additional two (2) staff members’ – one (1) floater and one (1) group leader – CQI was reviewed during today’s visit. Education Standards: One (1) lead teacher is over two (2) classrooms – space #7-3yo/(Imagination) for children, 2-3 years of age, and space # 1(Discovery) for children, 3-4 years of age. S. Lewis has been identified as a staff member in training for lead teacher position. The staff recently completed the EDU-119. Mr. Smith plans to discuss further coursework with the staff member. Recognition of Quality Initiatives form was shared with Mr. Smith. He declined to participate. Activity requirements: Learning environments in each classroom were developmentally appropriate and equipment and materials accessible daily. The quantities of materials were sufficient in most of the centers in each classroom during today’s visit and promoted all developmental domains listed on the North Carolina Foundations for Early Learning. A blocks alone in the block area in space #1 (Discovery) may not be sufficient for minimum of three (3) children. However, there were other materials, such as pretend animals and cars. Enough time was allocated for outdoor play time. Activity areas include five (5) activity areas available for children in all classrooms, including art, books, blocks, manipulatives, and dramatic play. music, science sand and water play were accessible to the children weekly. Self-study verification form for Child Care Center was submitted with the application for the Rated License Assessment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport school-age children during summer months. I monitored two (2) vehicles today. Both vehicles’ registration and insurance were valid. A first aid kit and a fire extinguisher were maintained safely in each vehicle. Tires and seats were in good repair. The following violations were documented during today’s visit: Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. The activity plan in space #2 did not list the activities that stimulate social/emotional development and health/physical development. .0508(b)(1-5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The authorization form for Aveeno lotion in space #2 expired on 1/22/26 and the lotion was not sent home or discarded. .0803(12) 1314 Emergency information did not name child's health care professional. One (1) child's updated Emergency Medical Care Plan did not list preferred health care professionals. .0802(c)(2) Technical assistance was provided as follows: 429: activity plans 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. To comply, activity plan in space #2 (Creativity) must add activities that promote social/emotional development and health and physical development. Mr. Smith had a conversation with the lead teacher in space #2 during the visit. Once the plan is corrected, he plans to send me the statement verifying the correction. 849: expired authorization form. Medication must be returned to the parents or discarded within seventy-two (72) hours of the medication’s expiration date and/or the expiration of the authorization form. Mr. Smith discarded Aveeno Lotion during the visit. Therefore, this violation was corrected during the visit. 1314: Emergency Medical Care information Responsible party’s choice of health care professional in the Emergency Medical Care information in the children’s application must be updated annually. To comply, please request the parent to add the child’s physician and the choice of hospital. Mr. Smith plans to send the form with the child and update the information. Refer to 10A NCAC 09 .0802(c)(2). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/1/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: All violations must be corrected before I can submit a request for ECERS-3 and SACERS-U. Reminder: Please renew the following staff members’ criminal background check promptly without lapse. J. Shelton – expires on 4/8/26 V. Taylor – expires on 5/7/26 M. Maynor – expires on 5/25/26 An action plan for an inhaler will expire on 3/26/25. WORKS contacts: I recommend M. Shaft’s education to be re-evaluated. Please contact the below is seek further guidance of documentation required for the process. Workforce Education Unit 8:00 AM – 5:00 PM; Monday - Friday (919) 814–6350 Email: dcdee.works@dhhs.nc.gov Website: https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Workforce-Education-Unit Related Questions: Educational Qualifications; Applications; Official Transcripts; Registration Review; Submission Uploads; DCDEE WORKS access 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. Minor crack on the slide: There was a thin, 1 ½ inches long crack on the slide on the pre-K playground. The surface on the slide was not sharp. For now, it may not pose a significant risk for injuries, but it must be repaired before the crack spreads. Auvi-Q action plan: Please add the date the action plan was filled out and make sure that the plan is updated annually. Annual compliance visit: Moving forward, your annual compliance visit will be conducted around March. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0508 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/18/2026 Number Present: 25 Completed Date: 3/18/2026 Age: From 3 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc., is current/active as of 3/16/26. Permit type – five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/2/25. The last fire drill was practiced on 2/9/26. The last lockdown drill was practiced on 12/8/25. Mr. Smith plans to conduct a drill this month. The last playground inspection was documented on 3/10/26. The last fire inspection was approved on 3/31/25. The last sanitation inspection was conducted on 9/19/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing was completed and exempt from further testing. Eleven (11) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Walk-through: Mr. Smith accompanied me to the walk-through. In space #1 (Discovery), a group of eleven (11) children, three-to-four years of age were present with two (2) staff members. Three (3) additional children, all three (3) years of age from space #7 (Imagination) with one (1) staff member joined the group during free play. The children dressed up in the housekeeping center, played with dinosaurs in block area, created art at the tables and played with sand tables. Staff members sat with different groups of children and conversed with them. Three (3) prescription medications and two (2) over-the-counter lotion was maintained in a backpack. One (1) action plan for Auvi-Q was missing a date the plan was filled out. In space #2 (Creativity), a group of eleven (11) children, four-to-five years of age were present with two (2) staff members. The children played with car tracks, puzzles, blocks, art materials and water table. Space #3 (Red Room) and #5 (Yellow Room) are used by the school-age children. No school-age children were present during today’s visit. Space #4 (Blue Room) and space #6 were not used currently. Due to recently added classrooms - space #6 and #7, gym is designated as space #8 moving forward. No safety hazards were observed in the gym. Playgrounds: Two (2) playgrounds were monitored. Depth of loose surfacing could not be measured due to frozen ground. Mr. Smith and I discussed thin, 1 ½ inch long crack on the slide on the pre-K playground. Before the crack expands or extends, it is strongly recommended to be sealed. Meals: Lunch was observed during today’s visit. The program uses Brightwheel app to post the menu. Mozzarella sticks, carrots, ranch, cantaloupes, and milk were served and the items were accurately listed on the Brightwheel. Supervision during meal time was adequate. Rest time: Rest time was monitored. Lighting and spacing among cots were sufficient in each classroom. Staff files: Staff and Training Worksheet listed ten (10) staff members while The ABCMS system listed eleven (11). We discussed one (1) staff member listed as a lead teacher on the roster. Mr. Smith stated that this staff member was going to work during summer as a group leader. The person went ahead and completed the criminal background check but has not started working for the program yet. Therefore, the staff member was not listed on the Staff and Training Worksheet reviewed during today’s visit. The last completion dates of the Health and Safety Training for staff members were added to the worksheet by Mr. Smith during the visit along with a few additional changes. The following discrepancies were noted: M. Maynor: On-going training for 6/7/24 – 6/6/25 was zero (0) hour with five (5) carried over hours. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Therefore, five (5) hours of carry-over hours was determined to be sufficient. C. McLaughlin: On-going training for 4/11/24 - 4/10/25 was seven (7) hours for this staff member. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Based on the pro-rated monthly requirements, the staff member needed to complete approximately four (4) hours of training during the last period. Therefore, seven (7) hours was determined to be sufficient. Children’s files: Eight (8) children’s files were reviewed. Rated License Assessment: Application for the Rated License Assessment was submitted by Mr. Smith via email on March 3, 2026. Program Assessment Pathway was chosen. Self-study: Verification of Self-Study was submitted along with the application for the Rated License Assessment and reviewed prior to today’s visit. Self- study completed by two (2) lead teachers were reviewed during today’s visit. Family and Community Engagement Standards: Parent Handbook was shared by Mr. Smith via email along with the application for the Rated License Assessment, and the evidence of all foundational practices and four (4) additional options, with at least one (1) from each category of engagement was verified prior to today’s visit. Continuous Quality Improvements (CQI) Standards CQI for seven (7) staff members were submitted along with the application for the Rated License Assessment. Additional two (2) staff members’ – one (1) floater and one (1) group leader – CQI was reviewed during today’s visit. Education Standards: One (1) lead teacher is over two (2) classrooms – space #7-3yo/(Imagination) for children, 2-3 years of age, and space # 1(Discovery) for children, 3-4 years of age. S. Lewis has been identified as a staff member in training for lead teacher position. The staff recently completed the EDU-119. Mr. Smith plans to discuss further coursework with the staff member. Recognition of Quality Initiatives form was shared with Mr. Smith. He declined to participate. Activity requirements: Learning environments in each classroom were developmentally appropriate and equipment and materials accessible daily. The quantities of materials were sufficient in most of the centers in each classroom during today’s visit and promoted all developmental domains listed on the North Carolina Foundations for Early Learning. A blocks alone in the block area in space #1 (Discovery) may not be sufficient for minimum of three (3) children. However, there were other materials, such as pretend animals and cars. Enough time was allocated for outdoor play time. Activity areas include five (5) activity areas available for children in all classrooms, including art, books, blocks, manipulatives, and dramatic play. music, science sand and water play were accessible to the children weekly. Self-study verification form for Child Care Center was submitted with the application for the Rated License Assessment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport school-age children during summer months. I monitored two (2) vehicles today. Both vehicles’ registration and insurance were valid. A first aid kit and a fire extinguisher were maintained safely in each vehicle. Tires and seats were in good repair. The following violations were documented during today’s visit: Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. The activity plan in space #2 did not list the activities that stimulate social/emotional development and health/physical development. .0508(b)(1-5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The authorization form for Aveeno lotion in space #2 expired on 1/22/26 and the lotion was not sent home or discarded. .0803(12) 1314 Emergency information did not name child's health care professional. One (1) child's updated Emergency Medical Care Plan did not list preferred health care professionals. .0802(c)(2) Technical assistance was provided as follows: 429: activity plans 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. To comply, activity plan in space #2 (Creativity) must add activities that promote social/emotional development and health and physical development. Mr. Smith had a conversation with the lead teacher in space #2 during the visit. Once the plan is corrected, he plans to send me the statement verifying the correction. 849: expired authorization form. Medication must be returned to the parents or discarded within seventy-two (72) hours of the medication’s expiration date and/or the expiration of the authorization form. Mr. Smith discarded Aveeno Lotion during the visit. Therefore, this violation was corrected during the visit. 1314: Emergency Medical Care information Responsible party’s choice of health care professional in the Emergency Medical Care information in the children’s application must be updated annually. To comply, please request the parent to add the child’s physician and the choice of hospital. Mr. Smith plans to send the form with the child and update the information. Refer to 10A NCAC 09 .0802(c)(2). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/1/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: All violations must be corrected before I can submit a request for ECERS-3 and SACERS-U. Reminder: Please renew the following staff members’ criminal background check promptly without lapse. J. Shelton – expires on 4/8/26 V. Taylor – expires on 5/7/26 M. Maynor – expires on 5/25/26 An action plan for an inhaler will expire on 3/26/25. WORKS contacts: I recommend M. Shaft’s education to be re-evaluated. Please contact the below is seek further guidance of documentation required for the process. Workforce Education Unit 8:00 AM – 5:00 PM; Monday - Friday (919) 814–6350 Email: dcdee.works@dhhs.nc.gov Website: https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Workforce-Education-Unit Related Questions: Educational Qualifications; Applications; Official Transcripts; Registration Review; Submission Uploads; DCDEE WORKS access 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. Minor crack on the slide: There was a thin, 1 ½ inches long crack on the slide on the pre-K playground. The surface on the slide was not sharp. For now, it may not pose a significant risk for injuries, but it must be repaired before the crack spreads. Auvi-Q action plan: Please add the date the action plan was filled out and make sure that the plan is updated annually. Annual compliance visit: Moving forward, your annual compliance visit will be conducted around March. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/18/2026 Number Present: 25 Completed Date: 3/18/2026 Age: From 3 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc., is current/active as of 3/16/26. Permit type – five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/2/25. The last fire drill was practiced on 2/9/26. The last lockdown drill was practiced on 12/8/25. Mr. Smith plans to conduct a drill this month. The last playground inspection was documented on 3/10/26. The last fire inspection was approved on 3/31/25. The last sanitation inspection was conducted on 9/19/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing was completed and exempt from further testing. Eleven (11) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Walk-through: Mr. Smith accompanied me to the walk-through. In space #1 (Discovery), a group of eleven (11) children, three-to-four years of age were present with two (2) staff members. Three (3) additional children, all three (3) years of age from space #7 (Imagination) with one (1) staff member joined the group during free play. The children dressed up in the housekeeping center, played with dinosaurs in block area, created art at the tables and played with sand tables. Staff members sat with different groups of children and conversed with them. Three (3) prescription medications and two (2) over-the-counter lotion was maintained in a backpack. One (1) action plan for Auvi-Q was missing a date the plan was filled out. In space #2 (Creativity), a group of eleven (11) children, four-to-five years of age were present with two (2) staff members. The children played with car tracks, puzzles, blocks, art materials and water table. Space #3 (Red Room) and #5 (Yellow Room) are used by the school-age children. No school-age children were present during today’s visit. Space #4 (Blue Room) and space #6 were not used currently. Due to recently added classrooms - space #6 and #7, gym is designated as space #8 moving forward. No safety hazards were observed in the gym. Playgrounds: Two (2) playgrounds were monitored. Depth of loose surfacing could not be measured due to frozen ground. Mr. Smith and I discussed thin, 1 ½ inch long crack on the slide on the pre-K playground. Before the crack expands or extends, it is strongly recommended to be sealed. Meals: Lunch was observed during today’s visit. The program uses Brightwheel app to post the menu. Mozzarella sticks, carrots, ranch, cantaloupes, and milk were served and the items were accurately listed on the Brightwheel. Supervision during meal time was adequate. Rest time: Rest time was monitored. Lighting and spacing among cots were sufficient in each classroom. Staff files: Staff and Training Worksheet listed ten (10) staff members while The ABCMS system listed eleven (11). We discussed one (1) staff member listed as a lead teacher on the roster. Mr. Smith stated that this staff member was going to work during summer as a group leader. The person went ahead and completed the criminal background check but has not started working for the program yet. Therefore, the staff member was not listed on the Staff and Training Worksheet reviewed during today’s visit. The last completion dates of the Health and Safety Training for staff members were added to the worksheet by Mr. Smith during the visit along with a few additional changes. The following discrepancies were noted: M. Maynor: On-going training for 6/7/24 – 6/6/25 was zero (0) hour with five (5) carried over hours. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Therefore, five (5) hours of carry-over hours was determined to be sufficient. C. McLaughlin: On-going training for 4/11/24 - 4/10/25 was seven (7) hours for this staff member. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Based on the pro-rated monthly requirements, the staff member needed to complete approximately four (4) hours of training during the last period. Therefore, seven (7) hours was determined to be sufficient. Children’s files: Eight (8) children’s files were reviewed. Rated License Assessment: Application for the Rated License Assessment was submitted by Mr. Smith via email on March 3, 2026. Program Assessment Pathway was chosen. Self-study: Verification of Self-Study was submitted along with the application for the Rated License Assessment and reviewed prior to today’s visit. Self- study completed by two (2) lead teachers were reviewed during today’s visit. Family and Community Engagement Standards: Parent Handbook was shared by Mr. Smith via email along with the application for the Rated License Assessment, and the evidence of all foundational practices and four (4) additional options, with at least one (1) from each category of engagement was verified prior to today’s visit. Continuous Quality Improvements (CQI) Standards CQI for seven (7) staff members were submitted along with the application for the Rated License Assessment. Additional two (2) staff members’ – one (1) floater and one (1) group leader – CQI was reviewed during today’s visit. Education Standards: One (1) lead teacher is over two (2) classrooms – space #7-3yo/(Imagination) for children, 2-3 years of age, and space # 1(Discovery) for children, 3-4 years of age. S. Lewis has been identified as a staff member in training for lead teacher position. The staff recently completed the EDU-119. Mr. Smith plans to discuss further coursework with the staff member. Recognition of Quality Initiatives form was shared with Mr. Smith. He declined to participate. Activity requirements: Learning environments in each classroom were developmentally appropriate and equipment and materials accessible daily. The quantities of materials were sufficient in most of the centers in each classroom during today’s visit and promoted all developmental domains listed on the North Carolina Foundations for Early Learning. A blocks alone in the block area in space #1 (Discovery) may not be sufficient for minimum of three (3) children. However, there were other materials, such as pretend animals and cars. Enough time was allocated for outdoor play time. Activity areas include five (5) activity areas available for children in all classrooms, including art, books, blocks, manipulatives, and dramatic play. music, science sand and water play were accessible to the children weekly. Self-study verification form for Child Care Center was submitted with the application for the Rated License Assessment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport school-age children during summer months. I monitored two (2) vehicles today. Both vehicles’ registration and insurance were valid. A first aid kit and a fire extinguisher were maintained safely in each vehicle. Tires and seats were in good repair. The following violations were documented during today’s visit: Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. The activity plan in space #2 did not list the activities that stimulate social/emotional development and health/physical development. .0508(b)(1-5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The authorization form for Aveeno lotion in space #2 expired on 1/22/26 and the lotion was not sent home or discarded. .0803(12) 1314 Emergency information did not name child's health care professional. One (1) child's updated Emergency Medical Care Plan did not list preferred health care professionals. .0802(c)(2) Technical assistance was provided as follows: 429: activity plans 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. To comply, activity plan in space #2 (Creativity) must add activities that promote social/emotional development and health and physical development. Mr. Smith had a conversation with the lead teacher in space #2 during the visit. Once the plan is corrected, he plans to send me the statement verifying the correction. 849: expired authorization form. Medication must be returned to the parents or discarded within seventy-two (72) hours of the medication’s expiration date and/or the expiration of the authorization form. Mr. Smith discarded Aveeno Lotion during the visit. Therefore, this violation was corrected during the visit. 1314: Emergency Medical Care information Responsible party’s choice of health care professional in the Emergency Medical Care information in the children’s application must be updated annually. To comply, please request the parent to add the child’s physician and the choice of hospital. Mr. Smith plans to send the form with the child and update the information. Refer to 10A NCAC 09 .0802(c)(2). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/1/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: All violations must be corrected before I can submit a request for ECERS-3 and SACERS-U. Reminder: Please renew the following staff members’ criminal background check promptly without lapse. J. Shelton – expires on 4/8/26 V. Taylor – expires on 5/7/26 M. Maynor – expires on 5/25/26 An action plan for an inhaler will expire on 3/26/25. WORKS contacts: I recommend M. Shaft’s education to be re-evaluated. Please contact the below is seek further guidance of documentation required for the process. Workforce Education Unit 8:00 AM – 5:00 PM; Monday - Friday (919) 814–6350 Email: dcdee.works@dhhs.nc.gov Website: https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Workforce-Education-Unit Related Questions: Educational Qualifications; Applications; Official Transcripts; Registration Review; Submission Uploads; DCDEE WORKS access 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. Minor crack on the slide: There was a thin, 1 ½ inches long crack on the slide on the pre-K playground. The surface on the slide was not sharp. For now, it may not pose a significant risk for injuries, but it must be repaired before the crack spreads. Auvi-Q action plan: Please add the date the action plan was filled out and make sure that the plan is updated annually. Annual compliance visit: Moving forward, your annual compliance visit will be conducted around March. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/18/2026 Number Present: 25 Completed Date: 3/18/2026 Age: From 3 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc., is current/active as of 3/16/26. Permit type – five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/2/25. The last fire drill was practiced on 2/9/26. The last lockdown drill was practiced on 12/8/25. Mr. Smith plans to conduct a drill this month. The last playground inspection was documented on 3/10/26. The last fire inspection was approved on 3/31/25. The last sanitation inspection was conducted on 9/19/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing was completed and exempt from further testing. Eleven (11) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Walk-through: Mr. Smith accompanied me to the walk-through. In space #1 (Discovery), a group of eleven (11) children, three-to-four years of age were present with two (2) staff members. Three (3) additional children, all three (3) years of age from space #7 (Imagination) with one (1) staff member joined the group during free play. The children dressed up in the housekeeping center, played with dinosaurs in block area, created art at the tables and played with sand tables. Staff members sat with different groups of children and conversed with them. Three (3) prescription medications and two (2) over-the-counter lotion was maintained in a backpack. One (1) action plan for Auvi-Q was missing a date the plan was filled out. In space #2 (Creativity), a group of eleven (11) children, four-to-five years of age were present with two (2) staff members. The children played with car tracks, puzzles, blocks, art materials and water table. Space #3 (Red Room) and #5 (Yellow Room) are used by the school-age children. No school-age children were present during today’s visit. Space #4 (Blue Room) and space #6 were not used currently. Due to recently added classrooms - space #6 and #7, gym is designated as space #8 moving forward. No safety hazards were observed in the gym. Playgrounds: Two (2) playgrounds were monitored. Depth of loose surfacing could not be measured due to frozen ground. Mr. Smith and I discussed thin, 1 ½ inch long crack on the slide on the pre-K playground. Before the crack expands or extends, it is strongly recommended to be sealed. Meals: Lunch was observed during today’s visit. The program uses Brightwheel app to post the menu. Mozzarella sticks, carrots, ranch, cantaloupes, and milk were served and the items were accurately listed on the Brightwheel. Supervision during meal time was adequate. Rest time: Rest time was monitored. Lighting and spacing among cots were sufficient in each classroom. Staff files: Staff and Training Worksheet listed ten (10) staff members while The ABCMS system listed eleven (11). We discussed one (1) staff member listed as a lead teacher on the roster. Mr. Smith stated that this staff member was going to work during summer as a group leader. The person went ahead and completed the criminal background check but has not started working for the program yet. Therefore, the staff member was not listed on the Staff and Training Worksheet reviewed during today’s visit. The last completion dates of the Health and Safety Training for staff members were added to the worksheet by Mr. Smith during the visit along with a few additional changes. The following discrepancies were noted: M. Maynor: On-going training for 6/7/24 – 6/6/25 was zero (0) hour with five (5) carried over hours. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Therefore, five (5) hours of carry-over hours was determined to be sufficient. C. McLaughlin: On-going training for 4/11/24 - 4/10/25 was seven (7) hours for this staff member. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Based on the pro-rated monthly requirements, the staff member needed to complete approximately four (4) hours of training during the last period. Therefore, seven (7) hours was determined to be sufficient. Children’s files: Eight (8) children’s files were reviewed. Rated License Assessment: Application for the Rated License Assessment was submitted by Mr. Smith via email on March 3, 2026. Program Assessment Pathway was chosen. Self-study: Verification of Self-Study was submitted along with the application for the Rated License Assessment and reviewed prior to today’s visit. Self- study completed by two (2) lead teachers were reviewed during today’s visit. Family and Community Engagement Standards: Parent Handbook was shared by Mr. Smith via email along with the application for the Rated License Assessment, and the evidence of all foundational practices and four (4) additional options, with at least one (1) from each category of engagement was verified prior to today’s visit. Continuous Quality Improvements (CQI) Standards CQI for seven (7) staff members were submitted along with the application for the Rated License Assessment. Additional two (2) staff members’ – one (1) floater and one (1) group leader – CQI was reviewed during today’s visit. Education Standards: One (1) lead teacher is over two (2) classrooms – space #7-3yo/(Imagination) for children, 2-3 years of age, and space # 1(Discovery) for children, 3-4 years of age. S. Lewis has been identified as a staff member in training for lead teacher position. The staff recently completed the EDU-119. Mr. Smith plans to discuss further coursework with the staff member. Recognition of Quality Initiatives form was shared with Mr. Smith. He declined to participate. Activity requirements: Learning environments in each classroom were developmentally appropriate and equipment and materials accessible daily. The quantities of materials were sufficient in most of the centers in each classroom during today’s visit and promoted all developmental domains listed on the North Carolina Foundations for Early Learning. A blocks alone in the block area in space #1 (Discovery) may not be sufficient for minimum of three (3) children. However, there were other materials, such as pretend animals and cars. Enough time was allocated for outdoor play time. Activity areas include five (5) activity areas available for children in all classrooms, including art, books, blocks, manipulatives, and dramatic play. music, science sand and water play were accessible to the children weekly. Self-study verification form for Child Care Center was submitted with the application for the Rated License Assessment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport school-age children during summer months. I monitored two (2) vehicles today. Both vehicles’ registration and insurance were valid. A first aid kit and a fire extinguisher were maintained safely in each vehicle. Tires and seats were in good repair. The following violations were documented during today’s visit: Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. The activity plan in space #2 did not list the activities that stimulate social/emotional development and health/physical development. .0508(b)(1-5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The authorization form for Aveeno lotion in space #2 expired on 1/22/26 and the lotion was not sent home or discarded. .0803(12) 1314 Emergency information did not name child's health care professional. One (1) child's updated Emergency Medical Care Plan did not list preferred health care professionals. .0802(c)(2) Technical assistance was provided as follows: 429: activity plans 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. To comply, activity plan in space #2 (Creativity) must add activities that promote social/emotional development and health and physical development. Mr. Smith had a conversation with the lead teacher in space #2 during the visit. Once the plan is corrected, he plans to send me the statement verifying the correction. 849: expired authorization form. Medication must be returned to the parents or discarded within seventy-two (72) hours of the medication’s expiration date and/or the expiration of the authorization form. Mr. Smith discarded Aveeno Lotion during the visit. Therefore, this violation was corrected during the visit. 1314: Emergency Medical Care information Responsible party’s choice of health care professional in the Emergency Medical Care information in the children’s application must be updated annually. To comply, please request the parent to add the child’s physician and the choice of hospital. Mr. Smith plans to send the form with the child and update the information. Refer to 10A NCAC 09 .0802(c)(2). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/1/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: All violations must be corrected before I can submit a request for ECERS-3 and SACERS-U. Reminder: Please renew the following staff members’ criminal background check promptly without lapse. J. Shelton – expires on 4/8/26 V. Taylor – expires on 5/7/26 M. Maynor – expires on 5/25/26 An action plan for an inhaler will expire on 3/26/25. WORKS contacts: I recommend M. Shaft’s education to be re-evaluated. Please contact the below is seek further guidance of documentation required for the process. Workforce Education Unit 8:00 AM – 5:00 PM; Monday - Friday (919) 814–6350 Email: dcdee.works@dhhs.nc.gov Website: https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Workforce-Education-Unit Related Questions: Educational Qualifications; Applications; Official Transcripts; Registration Review; Submission Uploads; DCDEE WORKS access 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. Minor crack on the slide: There was a thin, 1 ½ inches long crack on the slide on the pre-K playground. The surface on the slide was not sharp. For now, it may not pose a significant risk for injuries, but it must be repaired before the crack spreads. Auvi-Q action plan: Please add the date the action plan was filled out and make sure that the plan is updated annually. Annual compliance visit: Moving forward, your annual compliance visit will be conducted around March. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/18/2026 Number Present: 25 Completed Date: 3/18/2026 Age: From 3 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc., is current/active as of 3/16/26. Permit type – five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/2/25. The last fire drill was practiced on 2/9/26. The last lockdown drill was practiced on 12/8/25. Mr. Smith plans to conduct a drill this month. The last playground inspection was documented on 3/10/26. The last fire inspection was approved on 3/31/25. The last sanitation inspection was conducted on 9/19/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing was completed and exempt from further testing. Eleven (11) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Walk-through: Mr. Smith accompanied me to the walk-through. In space #1 (Discovery), a group of eleven (11) children, three-to-four years of age were present with two (2) staff members. Three (3) additional children, all three (3) years of age from space #7 (Imagination) with one (1) staff member joined the group during free play. The children dressed up in the housekeeping center, played with dinosaurs in block area, created art at the tables and played with sand tables. Staff members sat with different groups of children and conversed with them. Three (3) prescription medications and two (2) over-the-counter lotion was maintained in a backpack. One (1) action plan for Auvi-Q was missing a date the plan was filled out. In space #2 (Creativity), a group of eleven (11) children, four-to-five years of age were present with two (2) staff members. The children played with car tracks, puzzles, blocks, art materials and water table. Space #3 (Red Room) and #5 (Yellow Room) are used by the school-age children. No school-age children were present during today’s visit. Space #4 (Blue Room) and space #6 were not used currently. Due to recently added classrooms - space #6 and #7, gym is designated as space #8 moving forward. No safety hazards were observed in the gym. Playgrounds: Two (2) playgrounds were monitored. Depth of loose surfacing could not be measured due to frozen ground. Mr. Smith and I discussed thin, 1 ½ inch long crack on the slide on the pre-K playground. Before the crack expands or extends, it is strongly recommended to be sealed. Meals: Lunch was observed during today’s visit. The program uses Brightwheel app to post the menu. Mozzarella sticks, carrots, ranch, cantaloupes, and milk were served and the items were accurately listed on the Brightwheel. Supervision during meal time was adequate. Rest time: Rest time was monitored. Lighting and spacing among cots were sufficient in each classroom. Staff files: Staff and Training Worksheet listed ten (10) staff members while The ABCMS system listed eleven (11). We discussed one (1) staff member listed as a lead teacher on the roster. Mr. Smith stated that this staff member was going to work during summer as a group leader. The person went ahead and completed the criminal background check but has not started working for the program yet. Therefore, the staff member was not listed on the Staff and Training Worksheet reviewed during today’s visit. The last completion dates of the Health and Safety Training for staff members were added to the worksheet by Mr. Smith during the visit along with a few additional changes. The following discrepancies were noted: M. Maynor: On-going training for 6/7/24 – 6/6/25 was zero (0) hour with five (5) carried over hours. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Therefore, five (5) hours of carry-over hours was determined to be sufficient. C. McLaughlin: On-going training for 4/11/24 - 4/10/25 was seven (7) hours for this staff member. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Based on the pro-rated monthly requirements, the staff member needed to complete approximately four (4) hours of training during the last period. Therefore, seven (7) hours was determined to be sufficient. Children’s files: Eight (8) children’s files were reviewed. Rated License Assessment: Application for the Rated License Assessment was submitted by Mr. Smith via email on March 3, 2026. Program Assessment Pathway was chosen. Self-study: Verification of Self-Study was submitted along with the application for the Rated License Assessment and reviewed prior to today’s visit. Self- study completed by two (2) lead teachers were reviewed during today’s visit. Family and Community Engagement Standards: Parent Handbook was shared by Mr. Smith via email along with the application for the Rated License Assessment, and the evidence of all foundational practices and four (4) additional options, with at least one (1) from each category of engagement was verified prior to today’s visit. Continuous Quality Improvements (CQI) Standards CQI for seven (7) staff members were submitted along with the application for the Rated License Assessment. Additional two (2) staff members’ – one (1) floater and one (1) group leader – CQI was reviewed during today’s visit. Education Standards: One (1) lead teacher is over two (2) classrooms – space #7-3yo/(Imagination) for children, 2-3 years of age, and space # 1(Discovery) for children, 3-4 years of age. S. Lewis has been identified as a staff member in training for lead teacher position. The staff recently completed the EDU-119. Mr. Smith plans to discuss further coursework with the staff member. Recognition of Quality Initiatives form was shared with Mr. Smith. He declined to participate. Activity requirements: Learning environments in each classroom were developmentally appropriate and equipment and materials accessible daily. The quantities of materials were sufficient in most of the centers in each classroom during today’s visit and promoted all developmental domains listed on the North Carolina Foundations for Early Learning. A blocks alone in the block area in space #1 (Discovery) may not be sufficient for minimum of three (3) children. However, there were other materials, such as pretend animals and cars. Enough time was allocated for outdoor play time. Activity areas include five (5) activity areas available for children in all classrooms, including art, books, blocks, manipulatives, and dramatic play. music, science sand and water play were accessible to the children weekly. Self-study verification form for Child Care Center was submitted with the application for the Rated License Assessment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport school-age children during summer months. I monitored two (2) vehicles today. Both vehicles’ registration and insurance were valid. A first aid kit and a fire extinguisher were maintained safely in each vehicle. Tires and seats were in good repair. The following violations were documented during today’s visit: Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. The activity plan in space #2 did not list the activities that stimulate social/emotional development and health/physical development. .0508(b)(1-5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The authorization form for Aveeno lotion in space #2 expired on 1/22/26 and the lotion was not sent home or discarded. .0803(12) 1314 Emergency information did not name child's health care professional. One (1) child's updated Emergency Medical Care Plan did not list preferred health care professionals. .0802(c)(2) Technical assistance was provided as follows: 429: activity plans 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. To comply, activity plan in space #2 (Creativity) must add activities that promote social/emotional development and health and physical development. Mr. Smith had a conversation with the lead teacher in space #2 during the visit. Once the plan is corrected, he plans to send me the statement verifying the correction. 849: expired authorization form. Medication must be returned to the parents or discarded within seventy-two (72) hours of the medication’s expiration date and/or the expiration of the authorization form. Mr. Smith discarded Aveeno Lotion during the visit. Therefore, this violation was corrected during the visit. 1314: Emergency Medical Care information Responsible party’s choice of health care professional in the Emergency Medical Care information in the children’s application must be updated annually. To comply, please request the parent to add the child’s physician and the choice of hospital. Mr. Smith plans to send the form with the child and update the information. Refer to 10A NCAC 09 .0802(c)(2). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/1/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: All violations must be corrected before I can submit a request for ECERS-3 and SACERS-U. Reminder: Please renew the following staff members’ criminal background check promptly without lapse. J. Shelton – expires on 4/8/26 V. Taylor – expires on 5/7/26 M. Maynor – expires on 5/25/26 An action plan for an inhaler will expire on 3/26/25. WORKS contacts: I recommend M. Shaft’s education to be re-evaluated. Please contact the below is seek further guidance of documentation required for the process. Workforce Education Unit 8:00 AM – 5:00 PM; Monday - Friday (919) 814–6350 Email: dcdee.works@dhhs.nc.gov Website: https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Workforce-Education-Unit Related Questions: Educational Qualifications; Applications; Official Transcripts; Registration Review; Submission Uploads; DCDEE WORKS access 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. Minor crack on the slide: There was a thin, 1 ½ inches long crack on the slide on the pre-K playground. The surface on the slide was not sharp. For now, it may not pose a significant risk for injuries, but it must be repaired before the crack spreads. Auvi-Q action plan: Please add the date the action plan was filled out and make sure that the plan is updated annually. Annual compliance visit: Moving forward, your annual compliance visit will be conducted around March. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/18/2026 Number Present: 25 Completed Date: 3/18/2026 Age: From 3 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc., is current/active as of 3/16/26. Permit type – five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/2/25. The last fire drill was practiced on 2/9/26. The last lockdown drill was practiced on 12/8/25. Mr. Smith plans to conduct a drill this month. The last playground inspection was documented on 3/10/26. The last fire inspection was approved on 3/31/25. The last sanitation inspection was conducted on 9/19/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing was completed and exempt from further testing. Eleven (11) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Walk-through: Mr. Smith accompanied me to the walk-through. In space #1 (Discovery), a group of eleven (11) children, three-to-four years of age were present with two (2) staff members. Three (3) additional children, all three (3) years of age from space #7 (Imagination) with one (1) staff member joined the group during free play. The children dressed up in the housekeeping center, played with dinosaurs in block area, created art at the tables and played with sand tables. Staff members sat with different groups of children and conversed with them. Three (3) prescription medications and two (2) over-the-counter lotion was maintained in a backpack. One (1) action plan for Auvi-Q was missing a date the plan was filled out. In space #2 (Creativity), a group of eleven (11) children, four-to-five years of age were present with two (2) staff members. The children played with car tracks, puzzles, blocks, art materials and water table. Space #3 (Red Room) and #5 (Yellow Room) are used by the school-age children. No school-age children were present during today’s visit. Space #4 (Blue Room) and space #6 were not used currently. Due to recently added classrooms - space #6 and #7, gym is designated as space #8 moving forward. No safety hazards were observed in the gym. Playgrounds: Two (2) playgrounds were monitored. Depth of loose surfacing could not be measured due to frozen ground. Mr. Smith and I discussed thin, 1 ½ inch long crack on the slide on the pre-K playground. Before the crack expands or extends, it is strongly recommended to be sealed. Meals: Lunch was observed during today’s visit. The program uses Brightwheel app to post the menu. Mozzarella sticks, carrots, ranch, cantaloupes, and milk were served and the items were accurately listed on the Brightwheel. Supervision during meal time was adequate. Rest time: Rest time was monitored. Lighting and spacing among cots were sufficient in each classroom. Staff files: Staff and Training Worksheet listed ten (10) staff members while The ABCMS system listed eleven (11). We discussed one (1) staff member listed as a lead teacher on the roster. Mr. Smith stated that this staff member was going to work during summer as a group leader. The person went ahead and completed the criminal background check but has not started working for the program yet. Therefore, the staff member was not listed on the Staff and Training Worksheet reviewed during today’s visit. The last completion dates of the Health and Safety Training for staff members were added to the worksheet by Mr. Smith during the visit along with a few additional changes. The following discrepancies were noted: M. Maynor: On-going training for 6/7/24 – 6/6/25 was zero (0) hour with five (5) carried over hours. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Therefore, five (5) hours of carry-over hours was determined to be sufficient. C. McLaughlin: On-going training for 4/11/24 - 4/10/25 was seven (7) hours for this staff member. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Based on the pro-rated monthly requirements, the staff member needed to complete approximately four (4) hours of training during the last period. Therefore, seven (7) hours was determined to be sufficient. Children’s files: Eight (8) children’s files were reviewed. Rated License Assessment: Application for the Rated License Assessment was submitted by Mr. Smith via email on March 3, 2026. Program Assessment Pathway was chosen. Self-study: Verification of Self-Study was submitted along with the application for the Rated License Assessment and reviewed prior to today’s visit. Self- study completed by two (2) lead teachers were reviewed during today’s visit. Family and Community Engagement Standards: Parent Handbook was shared by Mr. Smith via email along with the application for the Rated License Assessment, and the evidence of all foundational practices and four (4) additional options, with at least one (1) from each category of engagement was verified prior to today’s visit. Continuous Quality Improvements (CQI) Standards CQI for seven (7) staff members were submitted along with the application for the Rated License Assessment. Additional two (2) staff members’ – one (1) floater and one (1) group leader – CQI was reviewed during today’s visit. Education Standards: One (1) lead teacher is over two (2) classrooms – space #7-3yo/(Imagination) for children, 2-3 years of age, and space # 1(Discovery) for children, 3-4 years of age. S. Lewis has been identified as a staff member in training for lead teacher position. The staff recently completed the EDU-119. Mr. Smith plans to discuss further coursework with the staff member. Recognition of Quality Initiatives form was shared with Mr. Smith. He declined to participate. Activity requirements: Learning environments in each classroom were developmentally appropriate and equipment and materials accessible daily. The quantities of materials were sufficient in most of the centers in each classroom during today’s visit and promoted all developmental domains listed on the North Carolina Foundations for Early Learning. A blocks alone in the block area in space #1 (Discovery) may not be sufficient for minimum of three (3) children. However, there were other materials, such as pretend animals and cars. Enough time was allocated for outdoor play time. Activity areas include five (5) activity areas available for children in all classrooms, including art, books, blocks, manipulatives, and dramatic play. music, science sand and water play were accessible to the children weekly. Self-study verification form for Child Care Center was submitted with the application for the Rated License Assessment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport school-age children during summer months. I monitored two (2) vehicles today. Both vehicles’ registration and insurance were valid. A first aid kit and a fire extinguisher were maintained safely in each vehicle. Tires and seats were in good repair. The following violations were documented during today’s visit: Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. The activity plan in space #2 did not list the activities that stimulate social/emotional development and health/physical development. .0508(b)(1-5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The authorization form for Aveeno lotion in space #2 expired on 1/22/26 and the lotion was not sent home or discarded. .0803(12) 1314 Emergency information did not name child's health care professional. One (1) child's updated Emergency Medical Care Plan did not list preferred health care professionals. .0802(c)(2) Technical assistance was provided as follows: 429: activity plans 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. To comply, activity plan in space #2 (Creativity) must add activities that promote social/emotional development and health and physical development. Mr. Smith had a conversation with the lead teacher in space #2 during the visit. Once the plan is corrected, he plans to send me the statement verifying the correction. 849: expired authorization form. Medication must be returned to the parents or discarded within seventy-two (72) hours of the medication’s expiration date and/or the expiration of the authorization form. Mr. Smith discarded Aveeno Lotion during the visit. Therefore, this violation was corrected during the visit. 1314: Emergency Medical Care information Responsible party’s choice of health care professional in the Emergency Medical Care information in the children’s application must be updated annually. To comply, please request the parent to add the child’s physician and the choice of hospital. Mr. Smith plans to send the form with the child and update the information. Refer to 10A NCAC 09 .0802(c)(2). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/1/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: All violations must be corrected before I can submit a request for ECERS-3 and SACERS-U. Reminder: Please renew the following staff members’ criminal background check promptly without lapse. J. Shelton – expires on 4/8/26 V. Taylor – expires on 5/7/26 M. Maynor – expires on 5/25/26 An action plan for an inhaler will expire on 3/26/25. WORKS contacts: I recommend M. Shaft’s education to be re-evaluated. Please contact the below is seek further guidance of documentation required for the process. Workforce Education Unit 8:00 AM – 5:00 PM; Monday - Friday (919) 814–6350 Email: dcdee.works@dhhs.nc.gov Website: https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Workforce-Education-Unit Related Questions: Educational Qualifications; Applications; Official Transcripts; Registration Review; Submission Uploads; DCDEE WORKS access 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. Minor crack on the slide: There was a thin, 1 ½ inches long crack on the slide on the pre-K playground. The surface on the slide was not sharp. For now, it may not pose a significant risk for injuries, but it must be repaired before the crack spreads. Auvi-Q action plan: Please add the date the action plan was filled out and make sure that the plan is updated annually. Annual compliance visit: Moving forward, your annual compliance visit will be conducted around March. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/18/2026 Number Present: 25 Completed Date: 3/18/2026 Age: From 3 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc., is current/active as of 3/16/26. Permit type – five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/2/25. The last fire drill was practiced on 2/9/26. The last lockdown drill was practiced on 12/8/25. Mr. Smith plans to conduct a drill this month. The last playground inspection was documented on 3/10/26. The last fire inspection was approved on 3/31/25. The last sanitation inspection was conducted on 9/19/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing was completed and exempt from further testing. Eleven (11) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Walk-through: Mr. Smith accompanied me to the walk-through. In space #1 (Discovery), a group of eleven (11) children, three-to-four years of age were present with two (2) staff members. Three (3) additional children, all three (3) years of age from space #7 (Imagination) with one (1) staff member joined the group during free play. The children dressed up in the housekeeping center, played with dinosaurs in block area, created art at the tables and played with sand tables. Staff members sat with different groups of children and conversed with them. Three (3) prescription medications and two (2) over-the-counter lotion was maintained in a backpack. One (1) action plan for Auvi-Q was missing a date the plan was filled out. In space #2 (Creativity), a group of eleven (11) children, four-to-five years of age were present with two (2) staff members. The children played with car tracks, puzzles, blocks, art materials and water table. Space #3 (Red Room) and #5 (Yellow Room) are used by the school-age children. No school-age children were present during today’s visit. Space #4 (Blue Room) and space #6 were not used currently. Due to recently added classrooms - space #6 and #7, gym is designated as space #8 moving forward. No safety hazards were observed in the gym. Playgrounds: Two (2) playgrounds were monitored. Depth of loose surfacing could not be measured due to frozen ground. Mr. Smith and I discussed thin, 1 ½ inch long crack on the slide on the pre-K playground. Before the crack expands or extends, it is strongly recommended to be sealed. Meals: Lunch was observed during today’s visit. The program uses Brightwheel app to post the menu. Mozzarella sticks, carrots, ranch, cantaloupes, and milk were served and the items were accurately listed on the Brightwheel. Supervision during meal time was adequate. Rest time: Rest time was monitored. Lighting and spacing among cots were sufficient in each classroom. Staff files: Staff and Training Worksheet listed ten (10) staff members while The ABCMS system listed eleven (11). We discussed one (1) staff member listed as a lead teacher on the roster. Mr. Smith stated that this staff member was going to work during summer as a group leader. The person went ahead and completed the criminal background check but has not started working for the program yet. Therefore, the staff member was not listed on the Staff and Training Worksheet reviewed during today’s visit. The last completion dates of the Health and Safety Training for staff members were added to the worksheet by Mr. Smith during the visit along with a few additional changes. The following discrepancies were noted: M. Maynor: On-going training for 6/7/24 – 6/6/25 was zero (0) hour with five (5) carried over hours. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Therefore, five (5) hours of carry-over hours was determined to be sufficient. C. McLaughlin: On-going training for 4/11/24 - 4/10/25 was seven (7) hours for this staff member. On-going training was waived due to the effects of tropical storm Helene between October 2024 through April 2025. Based on the pro-rated monthly requirements, the staff member needed to complete approximately four (4) hours of training during the last period. Therefore, seven (7) hours was determined to be sufficient. Children’s files: Eight (8) children’s files were reviewed. Rated License Assessment: Application for the Rated License Assessment was submitted by Mr. Smith via email on March 3, 2026. Program Assessment Pathway was chosen. Self-study: Verification of Self-Study was submitted along with the application for the Rated License Assessment and reviewed prior to today’s visit. Self- study completed by two (2) lead teachers were reviewed during today’s visit. Family and Community Engagement Standards: Parent Handbook was shared by Mr. Smith via email along with the application for the Rated License Assessment, and the evidence of all foundational practices and four (4) additional options, with at least one (1) from each category of engagement was verified prior to today’s visit. Continuous Quality Improvements (CQI) Standards CQI for seven (7) staff members were submitted along with the application for the Rated License Assessment. Additional two (2) staff members’ – one (1) floater and one (1) group leader – CQI was reviewed during today’s visit. Education Standards: One (1) lead teacher is over two (2) classrooms – space #7-3yo/(Imagination) for children, 2-3 years of age, and space # 1(Discovery) for children, 3-4 years of age. S. Lewis has been identified as a staff member in training for lead teacher position. The staff recently completed the EDU-119. Mr. Smith plans to discuss further coursework with the staff member. Recognition of Quality Initiatives form was shared with Mr. Smith. He declined to participate. Activity requirements: Learning environments in each classroom were developmentally appropriate and equipment and materials accessible daily. The quantities of materials were sufficient in most of the centers in each classroom during today’s visit and promoted all developmental domains listed on the North Carolina Foundations for Early Learning. A blocks alone in the block area in space #1 (Discovery) may not be sufficient for minimum of three (3) children. However, there were other materials, such as pretend animals and cars. Enough time was allocated for outdoor play time. Activity areas include five (5) activity areas available for children in all classrooms, including art, books, blocks, manipulatives, and dramatic play. music, science sand and water play were accessible to the children weekly. Self-study verification form for Child Care Center was submitted with the application for the Rated License Assessment. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport school-age children during summer months. I monitored two (2) vehicles today. Both vehicles’ registration and insurance were valid. A first aid kit and a fire extinguisher were maintained safely in each vehicle. Tires and seats were in good repair. The following violations were documented during today’s visit: Violation Number Comment Rule 429 The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. The activity plan in space #2 did not list the activities that stimulate social/emotional development and health/physical development. .0508(b)(1-5) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The authorization form for Aveeno lotion in space #2 expired on 1/22/26 and the lotion was not sent home or discarded. .0803(12) 1314 Emergency information did not name child's health care professional. One (1) child's updated Emergency Medical Care Plan did not list preferred health care professionals. .0802(c)(2) Technical assistance was provided as follows: 429: activity plans 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (b) For each group of children in care, the activity plan shall include activities intended to stimulate the following developmental domains, in accordance with North Carolina Foundations for Early Learning and Development, available on the Division's website at http://ncchildcare.nc.gov/providers/pv_foundations.asp: (1) emotional and social development; (2) health and physical development; (3) approaches to play and learning; (4) language development and communication; and (5) cognitive development. To comply, activity plan in space #2 (Creativity) must add activities that promote social/emotional development and health and physical development. Mr. Smith had a conversation with the lead teacher in space #2 during the visit. Once the plan is corrected, he plans to send me the statement verifying the correction. 849: expired authorization form. Medication must be returned to the parents or discarded within seventy-two (72) hours of the medication’s expiration date and/or the expiration of the authorization form. Mr. Smith discarded Aveeno Lotion during the visit. Therefore, this violation was corrected during the visit. 1314: Emergency Medical Care information Responsible party’s choice of health care professional in the Emergency Medical Care information in the children’s application must be updated annually. To comply, please request the parent to add the child’s physician and the choice of hospital. Mr. Smith plans to send the form with the child and update the information. Refer to 10A NCAC 09 .0802(c)(2). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/1/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: All violations must be corrected before I can submit a request for ECERS-3 and SACERS-U. Reminder: Please renew the following staff members’ criminal background check promptly without lapse. J. Shelton – expires on 4/8/26 V. Taylor – expires on 5/7/26 M. Maynor – expires on 5/25/26 An action plan for an inhaler will expire on 3/26/25. WORKS contacts: I recommend M. Shaft’s education to be re-evaluated. Please contact the below is seek further guidance of documentation required for the process. Workforce Education Unit 8:00 AM – 5:00 PM; Monday - Friday (919) 814–6350 Email: dcdee.works@dhhs.nc.gov Website: https://ncchildcare.ncdhhs.gov/Home/DCDEE-Sections/Workforce-Education-Unit Related Questions: Educational Qualifications; Applications; Official Transcripts; Registration Review; Submission Uploads; DCDEE WORKS access 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. Minor crack on the slide: There was a thin, 1 ½ inches long crack on the slide on the pre-K playground. The surface on the slide was not sharp. For now, it may not pose a significant risk for injuries, but it must be repaired before the crack spreads. Auvi-Q action plan: Please add the date the action plan was filled out and make sure that the plan is updated annually. Annual compliance visit: Moving forward, your annual compliance visit will be conducted around March. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 57 Completed Date: 7/2/2025 Age: From 3 To 11 Total Minutes: 278 Time In: 09:17 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jaqueline Collins, teacher, during the visit. A signed copy of the visit summary was electronically emailed to you. Mr. Smith was available during the visit but accompanied school-age field trip in the afternoon. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc. is current/active as of 7/1/25. Permit type – a five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exits only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/12/24. The last fire drill was practiced on 6/23/25. The last shelter-in-place drill was practiced on 3/20/25. The last playground inspection was documented on 6/30/25. The last fire inspection was approved on 3/31/25, The last sanitation inspection was conducted on 9/13/24 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 12/10/24. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing is exempted. Upon arrival, I announced my presence and the purpose of the visit. Children were observed. In space #1, 1A and 1B were combined, and a total of fourteen (14) children, three-to-four years old, were present with two (2) staff members. The children engaged in free play with pretend food, blocks, block accessories and other materials. One (1) emergency medication was maintained in the backpack. The authorization form, medication log, action plan and the storage were in compliance. In space #2, a group of thirteen (13) children, four-to-five years old also engaged in free play with baby dolls, games, blocks, manipulatives and toy vehicles. The school-age children from space #3, #4, and #5 had breakfast. A cup of yogurt, granola, graham crackers, sliced apples, and milk were served. These items were accurately listed on the menu. A total of thirty (30) children, five (5) to eleven (11) years old, were present across the three (3) classroom spaces #3, #4, and #5. The school-age children left for a field trip around 12:00 pm. The group visited a Christian program facility to volunteer by packing food boxes. Newly added spaces - 6 and #7 were monitored but not in use during the visit due to staffing shortages. Two (2) playgrounds were monitored, and no safety hazards were observed on either playground. On the preschool playground, mulch was measured eight (8) inches deep beneath the slide structure, tunnel climber, and around the swings. On the school-age playground, mulch was measured at eight (8) inches beneath the climber and seven (7) inches beneath the swings and slide. Rest time was observed in space #1/2 and #3. Both classrooms were too dark for the staff members to adequately monitor the children. Consultation was provided to staff members in both spaces. The Staff and Training Worksheet was submitted prior to the visit. The ABCMS system was reviewed, and all staff members’ criminal background status was verified. Corrections were made on the Staff and Training Worksheet, and the updated information was verified by Mr. Smith. One (1) new staff file, two (2) new staff files and seven (7) children’s files were monitored. Children had blanket permission forms for sunscreens. One (1) of the staff members did not have all the training certificates for Health and Safety training. Per Mr. Smith, the orientation training provided by Southwestern Child Development Commission includes some of the health and safety training in the orientation module. Therefore, the training certificate for the orientation was present but not the certificates for some of the Health and Safety training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation during the summer months. You stated that school-age children are transported for field trips. I monitored two (2) vehicles today. Both vehicles had valid registration cards, insurance cards, and inspection forms stored in the compartments. Fire extinguishers and first aid kits were also present in the compartments of both vehicles. The tires on both vehicles were in adequate condition. The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #1/2 and #3, staff member did not have adequate lighting to monitor children during the rest time. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above the sink in space #1 was not covered by the safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of hair spray was stored in an unlocked cabinet in Space #1, and a can of aerosol sunscreen was stored in a clear backpack inside an unlocked cabinet in Space #4. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was maintained in space #1 without its original box with the pharmacy label. .0803(2)(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 on 3/20/25 and the drill was not conducted in June. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 807: Safe environment All licensed space must be safe for children. During rest time monitoring, the lighting in space #1/2 and #3 were not adequate. The staff members must be able to adequately monitor children’s breathing, coloring of their faces and if their faces were covered by their blankets. You can adjust the lighting level by installing lamps or opening curtains. Refer to .0601(a). 812: Electrical outlet Electrical outlets and power strips, not in use, which were located in space used by children must have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to .0604(c). Please cover all outlets at five (5) feet or under. The outlet by the sink in space #1 was covered during the visit. 840: Hazardous products All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked room or cabinet. Refer to 15A NCAC 18A .2820(b). Please remove Herbal Essence hair spray from space #1/2 (room 115) and aerosol sunscreens from the clear backpack in space #4 (room 121) and maintain them in locked storage(s). 844: medication in original box Prescribed medicine must be in original pharmacy labeled container. Refer to .0803(2)(a) Please ask the parent to provide the medication’s original box with a pharmacy label or a pharmacy print-out with the child’s name and the name of the prescribed medications. 1811: Shelter-in-place/lockdown drills Shelter-in-place or lockdown drills must be practiced every three months and/or drill record was incomplete. A shelter-in-place or a lockdown drill was due in June, 2025. Please conduct a drill immediately. Refer to .0604(u). The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: We discussed the ABCMS system. According to Mr. Smith, there is a discrepancy between one (1) staff member’s last name and their ID, which has prevented the addition of this staff member to the roster in the system. Mr. Smith is currently working with ABCMS technical support to resolve the issue. Mr. Smith is currently working on completing the roster for the program on ABCMS. Per ABCMS provider portal guide, administrators do not have access to each staff members’ criminal background letters. You can review the guide on the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/A/ABCMS_Provider_Portal_Access_Guide.pdf?ver=DWF7XsuhX-Y%3d Aquatic Policy requirements: Aquatics policy is required for any activities that take place in or near a body of water. The program must develop an aquatic policy that includes the following items listed under .1403(g). The staff members who supervise children on an aquatic activity must annually review the program’s aquatic policy and sign statements. Additionally, written permission from parents for participation in aquatic activities must be obtained prior to children engaged in the activities. The written permission must include a statement that parents are aware of the program’s policy. The copy of the permission form must be maintained in the child’s file. 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS (g) Prior to children participating in aquatic activities, the center shall develop policies that address the following: (1) aquatic safety hazards; (2) pool and aquatic activity area supervision including restroom or changing room use; (3) how discipline will be handled during aquatic activities; (4) the facility's off-premises and transportation policies and procedures; and (5) that children shall be directed to exit the water during an emergency. (h) Before staff first supervise children on an aquatic activity, and annually thereafter, staff shall sign and date statements that they have reviewed: (1) the center policies as specified in Paragraph (g) of this Rule; (2) any guidelines provided by the pool operator or other off-site aquatic facility; and (3) the requirements of this Rule. The statement shall be maintained in the staff person's personnel file for one year or until it is superseded by a new statement. (i) Centers shall obtain written permission from parents for participation in aquatic activities. The written permission shall include a statement that parents are aware of the center's aquatic policies specified in Paragraph (g) of this Rule. The center shall maintain copies of written parental permission in each child's file. Forms: The following must be completed on the forms provided by the Division: • Program Application • Fire inspections • Incident log • Criminal background check documents • Rated License Assessment Application Although programs may create their own forms except for the forms listed above, each form must include required categories of information. For example, facility identifying information, the child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved, if applicable, cause of injury, if applicable, type of injury, if applicable, body part injured, if applicable, where the child received medical treatment, if applicable, description of how and where the incident occurred, and the First Aid received, and steps taken to prevent reoccurrence. Please use the documents provided by the Division as resources and make sure to include all the required information, if you create a form. On-going Training resources: North Carolina Rated License Assessment Project website has many free training available about ERS-3. Please visit https://www.ncrlap.org/, create username and password. Under training tab, you can find different training topics. Routine unannounced visit and annual compliance visit: Due to the requirement that annual compliance visits be completed within 364 days of the previous visit, a routine unannounced visit will not be conducted this year. Instead, a second annual compliance visit will be scheduled toward the end of this school year. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 57 Completed Date: 7/2/2025 Age: From 3 To 11 Total Minutes: 278 Time In: 09:17 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jaqueline Collins, teacher, during the visit. A signed copy of the visit summary was electronically emailed to you. Mr. Smith was available during the visit but accompanied school-age field trip in the afternoon. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc. is current/active as of 7/1/25. Permit type – a five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exits only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/12/24. The last fire drill was practiced on 6/23/25. The last shelter-in-place drill was practiced on 3/20/25. The last playground inspection was documented on 6/30/25. The last fire inspection was approved on 3/31/25, The last sanitation inspection was conducted on 9/13/24 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 12/10/24. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing is exempted. Upon arrival, I announced my presence and the purpose of the visit. Children were observed. In space #1, 1A and 1B were combined, and a total of fourteen (14) children, three-to-four years old, were present with two (2) staff members. The children engaged in free play with pretend food, blocks, block accessories and other materials. One (1) emergency medication was maintained in the backpack. The authorization form, medication log, action plan and the storage were in compliance. In space #2, a group of thirteen (13) children, four-to-five years old also engaged in free play with baby dolls, games, blocks, manipulatives and toy vehicles. The school-age children from space #3, #4, and #5 had breakfast. A cup of yogurt, granola, graham crackers, sliced apples, and milk were served. These items were accurately listed on the menu. A total of thirty (30) children, five (5) to eleven (11) years old, were present across the three (3) classroom spaces #3, #4, and #5. The school-age children left for a field trip around 12:00 pm. The group visited a Christian program facility to volunteer by packing food boxes. Newly added spaces - 6 and #7 were monitored but not in use during the visit due to staffing shortages. Two (2) playgrounds were monitored, and no safety hazards were observed on either playground. On the preschool playground, mulch was measured eight (8) inches deep beneath the slide structure, tunnel climber, and around the swings. On the school-age playground, mulch was measured at eight (8) inches beneath the climber and seven (7) inches beneath the swings and slide. Rest time was observed in space #1/2 and #3. Both classrooms were too dark for the staff members to adequately monitor the children. Consultation was provided to staff members in both spaces. The Staff and Training Worksheet was submitted prior to the visit. The ABCMS system was reviewed, and all staff members’ criminal background status was verified. Corrections were made on the Staff and Training Worksheet, and the updated information was verified by Mr. Smith. One (1) new staff file, two (2) new staff files and seven (7) children’s files were monitored. Children had blanket permission forms for sunscreens. One (1) of the staff members did not have all the training certificates for Health and Safety training. Per Mr. Smith, the orientation training provided by Southwestern Child Development Commission includes some of the health and safety training in the orientation module. Therefore, the training certificate for the orientation was present but not the certificates for some of the Health and Safety training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation during the summer months. You stated that school-age children are transported for field trips. I monitored two (2) vehicles today. Both vehicles had valid registration cards, insurance cards, and inspection forms stored in the compartments. Fire extinguishers and first aid kits were also present in the compartments of both vehicles. The tires on both vehicles were in adequate condition. The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #1/2 and #3, staff member did not have adequate lighting to monitor children during the rest time. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above the sink in space #1 was not covered by the safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of hair spray was stored in an unlocked cabinet in Space #1, and a can of aerosol sunscreen was stored in a clear backpack inside an unlocked cabinet in Space #4. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was maintained in space #1 without its original box with the pharmacy label. .0803(2)(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 on 3/20/25 and the drill was not conducted in June. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 807: Safe environment All licensed space must be safe for children. During rest time monitoring, the lighting in space #1/2 and #3 were not adequate. The staff members must be able to adequately monitor children’s breathing, coloring of their faces and if their faces were covered by their blankets. You can adjust the lighting level by installing lamps or opening curtains. Refer to .0601(a). 812: Electrical outlet Electrical outlets and power strips, not in use, which were located in space used by children must have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to .0604(c). Please cover all outlets at five (5) feet or under. The outlet by the sink in space #1 was covered during the visit. 840: Hazardous products All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked room or cabinet. Refer to 15A NCAC 18A .2820(b). Please remove Herbal Essence hair spray from space #1/2 (room 115) and aerosol sunscreens from the clear backpack in space #4 (room 121) and maintain them in locked storage(s). 844: medication in original box Prescribed medicine must be in original pharmacy labeled container. Refer to .0803(2)(a) Please ask the parent to provide the medication’s original box with a pharmacy label or a pharmacy print-out with the child’s name and the name of the prescribed medications. 1811: Shelter-in-place/lockdown drills Shelter-in-place or lockdown drills must be practiced every three months and/or drill record was incomplete. A shelter-in-place or a lockdown drill was due in June, 2025. Please conduct a drill immediately. Refer to .0604(u). The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: We discussed the ABCMS system. According to Mr. Smith, there is a discrepancy between one (1) staff member’s last name and their ID, which has prevented the addition of this staff member to the roster in the system. Mr. Smith is currently working with ABCMS technical support to resolve the issue. Mr. Smith is currently working on completing the roster for the program on ABCMS. Per ABCMS provider portal guide, administrators do not have access to each staff members’ criminal background letters. You can review the guide on the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/A/ABCMS_Provider_Portal_Access_Guide.pdf?ver=DWF7XsuhX-Y%3d Aquatic Policy requirements: Aquatics policy is required for any activities that take place in or near a body of water. The program must develop an aquatic policy that includes the following items listed under .1403(g). The staff members who supervise children on an aquatic activity must annually review the program’s aquatic policy and sign statements. Additionally, written permission from parents for participation in aquatic activities must be obtained prior to children engaged in the activities. The written permission must include a statement that parents are aware of the program’s policy. The copy of the permission form must be maintained in the child’s file. 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS (g) Prior to children participating in aquatic activities, the center shall develop policies that address the following: (1) aquatic safety hazards; (2) pool and aquatic activity area supervision including restroom or changing room use; (3) how discipline will be handled during aquatic activities; (4) the facility's off-premises and transportation policies and procedures; and (5) that children shall be directed to exit the water during an emergency. (h) Before staff first supervise children on an aquatic activity, and annually thereafter, staff shall sign and date statements that they have reviewed: (1) the center policies as specified in Paragraph (g) of this Rule; (2) any guidelines provided by the pool operator or other off-site aquatic facility; and (3) the requirements of this Rule. The statement shall be maintained in the staff person's personnel file for one year or until it is superseded by a new statement. (i) Centers shall obtain written permission from parents for participation in aquatic activities. The written permission shall include a statement that parents are aware of the center's aquatic policies specified in Paragraph (g) of this Rule. The center shall maintain copies of written parental permission in each child's file. Forms: The following must be completed on the forms provided by the Division: • Program Application • Fire inspections • Incident log • Criminal background check documents • Rated License Assessment Application Although programs may create their own forms except for the forms listed above, each form must include required categories of information. For example, facility identifying information, the child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved, if applicable, cause of injury, if applicable, type of injury, if applicable, body part injured, if applicable, where the child received medical treatment, if applicable, description of how and where the incident occurred, and the First Aid received, and steps taken to prevent reoccurrence. Please use the documents provided by the Division as resources and make sure to include all the required information, if you create a form. On-going Training resources: North Carolina Rated License Assessment Project website has many free training available about ERS-3. Please visit https://www.ncrlap.org/, create username and password. Under training tab, you can find different training topics. Routine unannounced visit and annual compliance visit: Due to the requirement that annual compliance visits be completed within 364 days of the previous visit, a routine unannounced visit will not be conducted this year. Instead, a second annual compliance visit will be scheduled toward the end of this school year. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 57 Completed Date: 7/2/2025 Age: From 3 To 11 Total Minutes: 278 Time In: 09:17 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jaqueline Collins, teacher, during the visit. A signed copy of the visit summary was electronically emailed to you. Mr. Smith was available during the visit but accompanied school-age field trip in the afternoon. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc. is current/active as of 7/1/25. Permit type – a five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exits only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/12/24. The last fire drill was practiced on 6/23/25. The last shelter-in-place drill was practiced on 3/20/25. The last playground inspection was documented on 6/30/25. The last fire inspection was approved on 3/31/25, The last sanitation inspection was conducted on 9/13/24 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 12/10/24. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing is exempted. Upon arrival, I announced my presence and the purpose of the visit. Children were observed. In space #1, 1A and 1B were combined, and a total of fourteen (14) children, three-to-four years old, were present with two (2) staff members. The children engaged in free play with pretend food, blocks, block accessories and other materials. One (1) emergency medication was maintained in the backpack. The authorization form, medication log, action plan and the storage were in compliance. In space #2, a group of thirteen (13) children, four-to-five years old also engaged in free play with baby dolls, games, blocks, manipulatives and toy vehicles. The school-age children from space #3, #4, and #5 had breakfast. A cup of yogurt, granola, graham crackers, sliced apples, and milk were served. These items were accurately listed on the menu. A total of thirty (30) children, five (5) to eleven (11) years old, were present across the three (3) classroom spaces #3, #4, and #5. The school-age children left for a field trip around 12:00 pm. The group visited a Christian program facility to volunteer by packing food boxes. Newly added spaces - 6 and #7 were monitored but not in use during the visit due to staffing shortages. Two (2) playgrounds were monitored, and no safety hazards were observed on either playground. On the preschool playground, mulch was measured eight (8) inches deep beneath the slide structure, tunnel climber, and around the swings. On the school-age playground, mulch was measured at eight (8) inches beneath the climber and seven (7) inches beneath the swings and slide. Rest time was observed in space #1/2 and #3. Both classrooms were too dark for the staff members to adequately monitor the children. Consultation was provided to staff members in both spaces. The Staff and Training Worksheet was submitted prior to the visit. The ABCMS system was reviewed, and all staff members’ criminal background status was verified. Corrections were made on the Staff and Training Worksheet, and the updated information was verified by Mr. Smith. One (1) new staff file, two (2) new staff files and seven (7) children’s files were monitored. Children had blanket permission forms for sunscreens. One (1) of the staff members did not have all the training certificates for Health and Safety training. Per Mr. Smith, the orientation training provided by Southwestern Child Development Commission includes some of the health and safety training in the orientation module. Therefore, the training certificate for the orientation was present but not the certificates for some of the Health and Safety training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation during the summer months. You stated that school-age children are transported for field trips. I monitored two (2) vehicles today. Both vehicles had valid registration cards, insurance cards, and inspection forms stored in the compartments. Fire extinguishers and first aid kits were also present in the compartments of both vehicles. The tires on both vehicles were in adequate condition. The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #1/2 and #3, staff member did not have adequate lighting to monitor children during the rest time. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above the sink in space #1 was not covered by the safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of hair spray was stored in an unlocked cabinet in Space #1, and a can of aerosol sunscreen was stored in a clear backpack inside an unlocked cabinet in Space #4. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was maintained in space #1 without its original box with the pharmacy label. .0803(2)(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 on 3/20/25 and the drill was not conducted in June. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 807: Safe environment All licensed space must be safe for children. During rest time monitoring, the lighting in space #1/2 and #3 were not adequate. The staff members must be able to adequately monitor children’s breathing, coloring of their faces and if their faces were covered by their blankets. You can adjust the lighting level by installing lamps or opening curtains. Refer to .0601(a). 812: Electrical outlet Electrical outlets and power strips, not in use, which were located in space used by children must have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to .0604(c). Please cover all outlets at five (5) feet or under. The outlet by the sink in space #1 was covered during the visit. 840: Hazardous products All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked room or cabinet. Refer to 15A NCAC 18A .2820(b). Please remove Herbal Essence hair spray from space #1/2 (room 115) and aerosol sunscreens from the clear backpack in space #4 (room 121) and maintain them in locked storage(s). 844: medication in original box Prescribed medicine must be in original pharmacy labeled container. Refer to .0803(2)(a) Please ask the parent to provide the medication’s original box with a pharmacy label or a pharmacy print-out with the child’s name and the name of the prescribed medications. 1811: Shelter-in-place/lockdown drills Shelter-in-place or lockdown drills must be practiced every three months and/or drill record was incomplete. A shelter-in-place or a lockdown drill was due in June, 2025. Please conduct a drill immediately. Refer to .0604(u). The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: We discussed the ABCMS system. According to Mr. Smith, there is a discrepancy between one (1) staff member’s last name and their ID, which has prevented the addition of this staff member to the roster in the system. Mr. Smith is currently working with ABCMS technical support to resolve the issue. Mr. Smith is currently working on completing the roster for the program on ABCMS. Per ABCMS provider portal guide, administrators do not have access to each staff members’ criminal background letters. You can review the guide on the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/A/ABCMS_Provider_Portal_Access_Guide.pdf?ver=DWF7XsuhX-Y%3d Aquatic Policy requirements: Aquatics policy is required for any activities that take place in or near a body of water. The program must develop an aquatic policy that includes the following items listed under .1403(g). The staff members who supervise children on an aquatic activity must annually review the program’s aquatic policy and sign statements. Additionally, written permission from parents for participation in aquatic activities must be obtained prior to children engaged in the activities. The written permission must include a statement that parents are aware of the program’s policy. The copy of the permission form must be maintained in the child’s file. 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS (g) Prior to children participating in aquatic activities, the center shall develop policies that address the following: (1) aquatic safety hazards; (2) pool and aquatic activity area supervision including restroom or changing room use; (3) how discipline will be handled during aquatic activities; (4) the facility's off-premises and transportation policies and procedures; and (5) that children shall be directed to exit the water during an emergency. (h) Before staff first supervise children on an aquatic activity, and annually thereafter, staff shall sign and date statements that they have reviewed: (1) the center policies as specified in Paragraph (g) of this Rule; (2) any guidelines provided by the pool operator or other off-site aquatic facility; and (3) the requirements of this Rule. The statement shall be maintained in the staff person's personnel file for one year or until it is superseded by a new statement. (i) Centers shall obtain written permission from parents for participation in aquatic activities. The written permission shall include a statement that parents are aware of the center's aquatic policies specified in Paragraph (g) of this Rule. The center shall maintain copies of written parental permission in each child's file. Forms: The following must be completed on the forms provided by the Division: • Program Application • Fire inspections • Incident log • Criminal background check documents • Rated License Assessment Application Although programs may create their own forms except for the forms listed above, each form must include required categories of information. For example, facility identifying information, the child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved, if applicable, cause of injury, if applicable, type of injury, if applicable, body part injured, if applicable, where the child received medical treatment, if applicable, description of how and where the incident occurred, and the First Aid received, and steps taken to prevent reoccurrence. Please use the documents provided by the Division as resources and make sure to include all the required information, if you create a form. On-going Training resources: North Carolina Rated License Assessment Project website has many free training available about ERS-3. Please visit https://www.ncrlap.org/, create username and password. Under training tab, you can find different training topics. Routine unannounced visit and annual compliance visit: Due to the requirement that annual compliance visits be completed within 364 days of the previous visit, a routine unannounced visit will not be conducted this year. Instead, a second annual compliance visit will be scheduled toward the end of this school year. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 57 Completed Date: 7/2/2025 Age: From 3 To 11 Total Minutes: 278 Time In: 09:17 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jaqueline Collins, teacher, during the visit. A signed copy of the visit summary was electronically emailed to you. Mr. Smith was available during the visit but accompanied school-age field trip in the afternoon. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc. is current/active as of 7/1/25. Permit type – a five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exits only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/12/24. The last fire drill was practiced on 6/23/25. The last shelter-in-place drill was practiced on 3/20/25. The last playground inspection was documented on 6/30/25. The last fire inspection was approved on 3/31/25, The last sanitation inspection was conducted on 9/13/24 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 12/10/24. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing is exempted. Upon arrival, I announced my presence and the purpose of the visit. Children were observed. In space #1, 1A and 1B were combined, and a total of fourteen (14) children, three-to-four years old, were present with two (2) staff members. The children engaged in free play with pretend food, blocks, block accessories and other materials. One (1) emergency medication was maintained in the backpack. The authorization form, medication log, action plan and the storage were in compliance. In space #2, a group of thirteen (13) children, four-to-five years old also engaged in free play with baby dolls, games, blocks, manipulatives and toy vehicles. The school-age children from space #3, #4, and #5 had breakfast. A cup of yogurt, granola, graham crackers, sliced apples, and milk were served. These items were accurately listed on the menu. A total of thirty (30) children, five (5) to eleven (11) years old, were present across the three (3) classroom spaces #3, #4, and #5. The school-age children left for a field trip around 12:00 pm. The group visited a Christian program facility to volunteer by packing food boxes. Newly added spaces - 6 and #7 were monitored but not in use during the visit due to staffing shortages. Two (2) playgrounds were monitored, and no safety hazards were observed on either playground. On the preschool playground, mulch was measured eight (8) inches deep beneath the slide structure, tunnel climber, and around the swings. On the school-age playground, mulch was measured at eight (8) inches beneath the climber and seven (7) inches beneath the swings and slide. Rest time was observed in space #1/2 and #3. Both classrooms were too dark for the staff members to adequately monitor the children. Consultation was provided to staff members in both spaces. The Staff and Training Worksheet was submitted prior to the visit. The ABCMS system was reviewed, and all staff members’ criminal background status was verified. Corrections were made on the Staff and Training Worksheet, and the updated information was verified by Mr. Smith. One (1) new staff file, two (2) new staff files and seven (7) children’s files were monitored. Children had blanket permission forms for sunscreens. One (1) of the staff members did not have all the training certificates for Health and Safety training. Per Mr. Smith, the orientation training provided by Southwestern Child Development Commission includes some of the health and safety training in the orientation module. Therefore, the training certificate for the orientation was present but not the certificates for some of the Health and Safety training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation during the summer months. You stated that school-age children are transported for field trips. I monitored two (2) vehicles today. Both vehicles had valid registration cards, insurance cards, and inspection forms stored in the compartments. Fire extinguishers and first aid kits were also present in the compartments of both vehicles. The tires on both vehicles were in adequate condition. The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #1/2 and #3, staff member did not have adequate lighting to monitor children during the rest time. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above the sink in space #1 was not covered by the safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of hair spray was stored in an unlocked cabinet in Space #1, and a can of aerosol sunscreen was stored in a clear backpack inside an unlocked cabinet in Space #4. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was maintained in space #1 without its original box with the pharmacy label. .0803(2)(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 on 3/20/25 and the drill was not conducted in June. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 807: Safe environment All licensed space must be safe for children. During rest time monitoring, the lighting in space #1/2 and #3 were not adequate. The staff members must be able to adequately monitor children’s breathing, coloring of their faces and if their faces were covered by their blankets. You can adjust the lighting level by installing lamps or opening curtains. Refer to .0601(a). 812: Electrical outlet Electrical outlets and power strips, not in use, which were located in space used by children must have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to .0604(c). Please cover all outlets at five (5) feet or under. The outlet by the sink in space #1 was covered during the visit. 840: Hazardous products All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked room or cabinet. Refer to 15A NCAC 18A .2820(b). Please remove Herbal Essence hair spray from space #1/2 (room 115) and aerosol sunscreens from the clear backpack in space #4 (room 121) and maintain them in locked storage(s). 844: medication in original box Prescribed medicine must be in original pharmacy labeled container. Refer to .0803(2)(a) Please ask the parent to provide the medication’s original box with a pharmacy label or a pharmacy print-out with the child’s name and the name of the prescribed medications. 1811: Shelter-in-place/lockdown drills Shelter-in-place or lockdown drills must be practiced every three months and/or drill record was incomplete. A shelter-in-place or a lockdown drill was due in June, 2025. Please conduct a drill immediately. Refer to .0604(u). The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: We discussed the ABCMS system. According to Mr. Smith, there is a discrepancy between one (1) staff member’s last name and their ID, which has prevented the addition of this staff member to the roster in the system. Mr. Smith is currently working with ABCMS technical support to resolve the issue. Mr. Smith is currently working on completing the roster for the program on ABCMS. Per ABCMS provider portal guide, administrators do not have access to each staff members’ criminal background letters. You can review the guide on the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/A/ABCMS_Provider_Portal_Access_Guide.pdf?ver=DWF7XsuhX-Y%3d Aquatic Policy requirements: Aquatics policy is required for any activities that take place in or near a body of water. The program must develop an aquatic policy that includes the following items listed under .1403(g). The staff members who supervise children on an aquatic activity must annually review the program’s aquatic policy and sign statements. Additionally, written permission from parents for participation in aquatic activities must be obtained prior to children engaged in the activities. The written permission must include a statement that parents are aware of the program’s policy. The copy of the permission form must be maintained in the child’s file. 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS (g) Prior to children participating in aquatic activities, the center shall develop policies that address the following: (1) aquatic safety hazards; (2) pool and aquatic activity area supervision including restroom or changing room use; (3) how discipline will be handled during aquatic activities; (4) the facility's off-premises and transportation policies and procedures; and (5) that children shall be directed to exit the water during an emergency. (h) Before staff first supervise children on an aquatic activity, and annually thereafter, staff shall sign and date statements that they have reviewed: (1) the center policies as specified in Paragraph (g) of this Rule; (2) any guidelines provided by the pool operator or other off-site aquatic facility; and (3) the requirements of this Rule. The statement shall be maintained in the staff person's personnel file for one year or until it is superseded by a new statement. (i) Centers shall obtain written permission from parents for participation in aquatic activities. The written permission shall include a statement that parents are aware of the center's aquatic policies specified in Paragraph (g) of this Rule. The center shall maintain copies of written parental permission in each child's file. Forms: The following must be completed on the forms provided by the Division: • Program Application • Fire inspections • Incident log • Criminal background check documents • Rated License Assessment Application Although programs may create their own forms except for the forms listed above, each form must include required categories of information. For example, facility identifying information, the child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved, if applicable, cause of injury, if applicable, type of injury, if applicable, body part injured, if applicable, where the child received medical treatment, if applicable, description of how and where the incident occurred, and the First Aid received, and steps taken to prevent reoccurrence. Please use the documents provided by the Division as resources and make sure to include all the required information, if you create a form. On-going Training resources: North Carolina Rated License Assessment Project website has many free training available about ERS-3. Please visit https://www.ncrlap.org/, create username and password. Under training tab, you can find different training topics. Routine unannounced visit and annual compliance visit: Due to the requirement that annual compliance visits be completed within 364 days of the previous visit, a routine unannounced visit will not be conducted this year. Instead, a second annual compliance visit will be scheduled toward the end of this school year. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1403 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 57 Completed Date: 7/2/2025 Age: From 3 To 11 Total Minutes: 278 Time In: 09:17 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jaqueline Collins, teacher, during the visit. A signed copy of the visit summary was electronically emailed to you. Mr. Smith was available during the visit but accompanied school-age field trip in the afternoon. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc. is current/active as of 7/1/25. Permit type – a five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exits only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/12/24. The last fire drill was practiced on 6/23/25. The last shelter-in-place drill was practiced on 3/20/25. The last playground inspection was documented on 6/30/25. The last fire inspection was approved on 3/31/25, The last sanitation inspection was conducted on 9/13/24 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 12/10/24. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing is exempted. Upon arrival, I announced my presence and the purpose of the visit. Children were observed. In space #1, 1A and 1B were combined, and a total of fourteen (14) children, three-to-four years old, were present with two (2) staff members. The children engaged in free play with pretend food, blocks, block accessories and other materials. One (1) emergency medication was maintained in the backpack. The authorization form, medication log, action plan and the storage were in compliance. In space #2, a group of thirteen (13) children, four-to-five years old also engaged in free play with baby dolls, games, blocks, manipulatives and toy vehicles. The school-age children from space #3, #4, and #5 had breakfast. A cup of yogurt, granola, graham crackers, sliced apples, and milk were served. These items were accurately listed on the menu. A total of thirty (30) children, five (5) to eleven (11) years old, were present across the three (3) classroom spaces #3, #4, and #5. The school-age children left for a field trip around 12:00 pm. The group visited a Christian program facility to volunteer by packing food boxes. Newly added spaces - 6 and #7 were monitored but not in use during the visit due to staffing shortages. Two (2) playgrounds were monitored, and no safety hazards were observed on either playground. On the preschool playground, mulch was measured eight (8) inches deep beneath the slide structure, tunnel climber, and around the swings. On the school-age playground, mulch was measured at eight (8) inches beneath the climber and seven (7) inches beneath the swings and slide. Rest time was observed in space #1/2 and #3. Both classrooms were too dark for the staff members to adequately monitor the children. Consultation was provided to staff members in both spaces. The Staff and Training Worksheet was submitted prior to the visit. The ABCMS system was reviewed, and all staff members’ criminal background status was verified. Corrections were made on the Staff and Training Worksheet, and the updated information was verified by Mr. Smith. One (1) new staff file, two (2) new staff files and seven (7) children’s files were monitored. Children had blanket permission forms for sunscreens. One (1) of the staff members did not have all the training certificates for Health and Safety training. Per Mr. Smith, the orientation training provided by Southwestern Child Development Commission includes some of the health and safety training in the orientation module. Therefore, the training certificate for the orientation was present but not the certificates for some of the Health and Safety training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation during the summer months. You stated that school-age children are transported for field trips. I monitored two (2) vehicles today. Both vehicles had valid registration cards, insurance cards, and inspection forms stored in the compartments. Fire extinguishers and first aid kits were also present in the compartments of both vehicles. The tires on both vehicles were in adequate condition. The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #1/2 and #3, staff member did not have adequate lighting to monitor children during the rest time. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above the sink in space #1 was not covered by the safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of hair spray was stored in an unlocked cabinet in Space #1, and a can of aerosol sunscreen was stored in a clear backpack inside an unlocked cabinet in Space #4. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was maintained in space #1 without its original box with the pharmacy label. .0803(2)(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 on 3/20/25 and the drill was not conducted in June. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 807: Safe environment All licensed space must be safe for children. During rest time monitoring, the lighting in space #1/2 and #3 were not adequate. The staff members must be able to adequately monitor children’s breathing, coloring of their faces and if their faces were covered by their blankets. You can adjust the lighting level by installing lamps or opening curtains. Refer to .0601(a). 812: Electrical outlet Electrical outlets and power strips, not in use, which were located in space used by children must have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to .0604(c). Please cover all outlets at five (5) feet or under. The outlet by the sink in space #1 was covered during the visit. 840: Hazardous products All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked room or cabinet. Refer to 15A NCAC 18A .2820(b). Please remove Herbal Essence hair spray from space #1/2 (room 115) and aerosol sunscreens from the clear backpack in space #4 (room 121) and maintain them in locked storage(s). 844: medication in original box Prescribed medicine must be in original pharmacy labeled container. Refer to .0803(2)(a) Please ask the parent to provide the medication’s original box with a pharmacy label or a pharmacy print-out with the child’s name and the name of the prescribed medications. 1811: Shelter-in-place/lockdown drills Shelter-in-place or lockdown drills must be practiced every three months and/or drill record was incomplete. A shelter-in-place or a lockdown drill was due in June, 2025. Please conduct a drill immediately. Refer to .0604(u). The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: We discussed the ABCMS system. According to Mr. Smith, there is a discrepancy between one (1) staff member’s last name and their ID, which has prevented the addition of this staff member to the roster in the system. Mr. Smith is currently working with ABCMS technical support to resolve the issue. Mr. Smith is currently working on completing the roster for the program on ABCMS. Per ABCMS provider portal guide, administrators do not have access to each staff members’ criminal background letters. You can review the guide on the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/A/ABCMS_Provider_Portal_Access_Guide.pdf?ver=DWF7XsuhX-Y%3d Aquatic Policy requirements: Aquatics policy is required for any activities that take place in or near a body of water. The program must develop an aquatic policy that includes the following items listed under .1403(g). The staff members who supervise children on an aquatic activity must annually review the program’s aquatic policy and sign statements. Additionally, written permission from parents for participation in aquatic activities must be obtained prior to children engaged in the activities. The written permission must include a statement that parents are aware of the program’s policy. The copy of the permission form must be maintained in the child’s file. 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS (g) Prior to children participating in aquatic activities, the center shall develop policies that address the following: (1) aquatic safety hazards; (2) pool and aquatic activity area supervision including restroom or changing room use; (3) how discipline will be handled during aquatic activities; (4) the facility's off-premises and transportation policies and procedures; and (5) that children shall be directed to exit the water during an emergency. (h) Before staff first supervise children on an aquatic activity, and annually thereafter, staff shall sign and date statements that they have reviewed: (1) the center policies as specified in Paragraph (g) of this Rule; (2) any guidelines provided by the pool operator or other off-site aquatic facility; and (3) the requirements of this Rule. The statement shall be maintained in the staff person's personnel file for one year or until it is superseded by a new statement. (i) Centers shall obtain written permission from parents for participation in aquatic activities. The written permission shall include a statement that parents are aware of the center's aquatic policies specified in Paragraph (g) of this Rule. The center shall maintain copies of written parental permission in each child's file. Forms: The following must be completed on the forms provided by the Division: • Program Application • Fire inspections • Incident log • Criminal background check documents • Rated License Assessment Application Although programs may create their own forms except for the forms listed above, each form must include required categories of information. For example, facility identifying information, the child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved, if applicable, cause of injury, if applicable, type of injury, if applicable, body part injured, if applicable, where the child received medical treatment, if applicable, description of how and where the incident occurred, and the First Aid received, and steps taken to prevent reoccurrence. Please use the documents provided by the Division as resources and make sure to include all the required information, if you create a form. On-going Training resources: North Carolina Rated License Assessment Project website has many free training available about ERS-3. Please visit https://www.ncrlap.org/, create username and password. Under training tab, you can find different training topics. Routine unannounced visit and annual compliance visit: Due to the requirement that annual compliance visits be completed within 364 days of the previous visit, a routine unannounced visit will not be conducted this year. Instead, a second annual compliance visit will be scheduled toward the end of this school year. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 57 Completed Date: 7/2/2025 Age: From 3 To 11 Total Minutes: 278 Time In: 09:17 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jaqueline Collins, teacher, during the visit. A signed copy of the visit summary was electronically emailed to you. Mr. Smith was available during the visit but accompanied school-age field trip in the afternoon. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc. is current/active as of 7/1/25. Permit type – a five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exits only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/12/24. The last fire drill was practiced on 6/23/25. The last shelter-in-place drill was practiced on 3/20/25. The last playground inspection was documented on 6/30/25. The last fire inspection was approved on 3/31/25, The last sanitation inspection was conducted on 9/13/24 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 12/10/24. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing is exempted. Upon arrival, I announced my presence and the purpose of the visit. Children were observed. In space #1, 1A and 1B were combined, and a total of fourteen (14) children, three-to-four years old, were present with two (2) staff members. The children engaged in free play with pretend food, blocks, block accessories and other materials. One (1) emergency medication was maintained in the backpack. The authorization form, medication log, action plan and the storage were in compliance. In space #2, a group of thirteen (13) children, four-to-five years old also engaged in free play with baby dolls, games, blocks, manipulatives and toy vehicles. The school-age children from space #3, #4, and #5 had breakfast. A cup of yogurt, granola, graham crackers, sliced apples, and milk were served. These items were accurately listed on the menu. A total of thirty (30) children, five (5) to eleven (11) years old, were present across the three (3) classroom spaces #3, #4, and #5. The school-age children left for a field trip around 12:00 pm. The group visited a Christian program facility to volunteer by packing food boxes. Newly added spaces - 6 and #7 were monitored but not in use during the visit due to staffing shortages. Two (2) playgrounds were monitored, and no safety hazards were observed on either playground. On the preschool playground, mulch was measured eight (8) inches deep beneath the slide structure, tunnel climber, and around the swings. On the school-age playground, mulch was measured at eight (8) inches beneath the climber and seven (7) inches beneath the swings and slide. Rest time was observed in space #1/2 and #3. Both classrooms were too dark for the staff members to adequately monitor the children. Consultation was provided to staff members in both spaces. The Staff and Training Worksheet was submitted prior to the visit. The ABCMS system was reviewed, and all staff members’ criminal background status was verified. Corrections were made on the Staff and Training Worksheet, and the updated information was verified by Mr. Smith. One (1) new staff file, two (2) new staff files and seven (7) children’s files were monitored. Children had blanket permission forms for sunscreens. One (1) of the staff members did not have all the training certificates for Health and Safety training. Per Mr. Smith, the orientation training provided by Southwestern Child Development Commission includes some of the health and safety training in the orientation module. Therefore, the training certificate for the orientation was present but not the certificates for some of the Health and Safety training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation during the summer months. You stated that school-age children are transported for field trips. I monitored two (2) vehicles today. Both vehicles had valid registration cards, insurance cards, and inspection forms stored in the compartments. Fire extinguishers and first aid kits were also present in the compartments of both vehicles. The tires on both vehicles were in adequate condition. The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #1/2 and #3, staff member did not have adequate lighting to monitor children during the rest time. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above the sink in space #1 was not covered by the safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of hair spray was stored in an unlocked cabinet in Space #1, and a can of aerosol sunscreen was stored in a clear backpack inside an unlocked cabinet in Space #4. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was maintained in space #1 without its original box with the pharmacy label. .0803(2)(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 on 3/20/25 and the drill was not conducted in June. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 807: Safe environment All licensed space must be safe for children. During rest time monitoring, the lighting in space #1/2 and #3 were not adequate. The staff members must be able to adequately monitor children’s breathing, coloring of their faces and if their faces were covered by their blankets. You can adjust the lighting level by installing lamps or opening curtains. Refer to .0601(a). 812: Electrical outlet Electrical outlets and power strips, not in use, which were located in space used by children must have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to .0604(c). Please cover all outlets at five (5) feet or under. The outlet by the sink in space #1 was covered during the visit. 840: Hazardous products All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked room or cabinet. Refer to 15A NCAC 18A .2820(b). Please remove Herbal Essence hair spray from space #1/2 (room 115) and aerosol sunscreens from the clear backpack in space #4 (room 121) and maintain them in locked storage(s). 844: medication in original box Prescribed medicine must be in original pharmacy labeled container. Refer to .0803(2)(a) Please ask the parent to provide the medication’s original box with a pharmacy label or a pharmacy print-out with the child’s name and the name of the prescribed medications. 1811: Shelter-in-place/lockdown drills Shelter-in-place or lockdown drills must be practiced every three months and/or drill record was incomplete. A shelter-in-place or a lockdown drill was due in June, 2025. Please conduct a drill immediately. Refer to .0604(u). The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: We discussed the ABCMS system. According to Mr. Smith, there is a discrepancy between one (1) staff member’s last name and their ID, which has prevented the addition of this staff member to the roster in the system. Mr. Smith is currently working with ABCMS technical support to resolve the issue. Mr. Smith is currently working on completing the roster for the program on ABCMS. Per ABCMS provider portal guide, administrators do not have access to each staff members’ criminal background letters. You can review the guide on the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/A/ABCMS_Provider_Portal_Access_Guide.pdf?ver=DWF7XsuhX-Y%3d Aquatic Policy requirements: Aquatics policy is required for any activities that take place in or near a body of water. The program must develop an aquatic policy that includes the following items listed under .1403(g). The staff members who supervise children on an aquatic activity must annually review the program’s aquatic policy and sign statements. Additionally, written permission from parents for participation in aquatic activities must be obtained prior to children engaged in the activities. The written permission must include a statement that parents are aware of the program’s policy. The copy of the permission form must be maintained in the child’s file. 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS (g) Prior to children participating in aquatic activities, the center shall develop policies that address the following: (1) aquatic safety hazards; (2) pool and aquatic activity area supervision including restroom or changing room use; (3) how discipline will be handled during aquatic activities; (4) the facility's off-premises and transportation policies and procedures; and (5) that children shall be directed to exit the water during an emergency. (h) Before staff first supervise children on an aquatic activity, and annually thereafter, staff shall sign and date statements that they have reviewed: (1) the center policies as specified in Paragraph (g) of this Rule; (2) any guidelines provided by the pool operator or other off-site aquatic facility; and (3) the requirements of this Rule. The statement shall be maintained in the staff person's personnel file for one year or until it is superseded by a new statement. (i) Centers shall obtain written permission from parents for participation in aquatic activities. The written permission shall include a statement that parents are aware of the center's aquatic policies specified in Paragraph (g) of this Rule. The center shall maintain copies of written parental permission in each child's file. Forms: The following must be completed on the forms provided by the Division: • Program Application • Fire inspections • Incident log • Criminal background check documents • Rated License Assessment Application Although programs may create their own forms except for the forms listed above, each form must include required categories of information. For example, facility identifying information, the child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved, if applicable, cause of injury, if applicable, type of injury, if applicable, body part injured, if applicable, where the child received medical treatment, if applicable, description of how and where the incident occurred, and the First Aid received, and steps taken to prevent reoccurrence. Please use the documents provided by the Division as resources and make sure to include all the required information, if you create a form. On-going Training resources: North Carolina Rated License Assessment Project website has many free training available about ERS-3. Please visit https://www.ncrlap.org/, create username and password. Under training tab, you can find different training topics. Routine unannounced visit and annual compliance visit: Due to the requirement that annual compliance visits be completed within 364 days of the previous visit, a routine unannounced visit will not be conducted this year. Instead, a second annual compliance visit will be scheduled toward the end of this school year. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 57 Completed Date: 7/2/2025 Age: From 3 To 11 Total Minutes: 278 Time In: 09:17 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jaqueline Collins, teacher, during the visit. A signed copy of the visit summary was electronically emailed to you. Mr. Smith was available during the visit but accompanied school-age field trip in the afternoon. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc. is current/active as of 7/1/25. Permit type – a five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exits only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/12/24. The last fire drill was practiced on 6/23/25. The last shelter-in-place drill was practiced on 3/20/25. The last playground inspection was documented on 6/30/25. The last fire inspection was approved on 3/31/25, The last sanitation inspection was conducted on 9/13/24 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 12/10/24. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing is exempted. Upon arrival, I announced my presence and the purpose of the visit. Children were observed. In space #1, 1A and 1B were combined, and a total of fourteen (14) children, three-to-four years old, were present with two (2) staff members. The children engaged in free play with pretend food, blocks, block accessories and other materials. One (1) emergency medication was maintained in the backpack. The authorization form, medication log, action plan and the storage were in compliance. In space #2, a group of thirteen (13) children, four-to-five years old also engaged in free play with baby dolls, games, blocks, manipulatives and toy vehicles. The school-age children from space #3, #4, and #5 had breakfast. A cup of yogurt, granola, graham crackers, sliced apples, and milk were served. These items were accurately listed on the menu. A total of thirty (30) children, five (5) to eleven (11) years old, were present across the three (3) classroom spaces #3, #4, and #5. The school-age children left for a field trip around 12:00 pm. The group visited a Christian program facility to volunteer by packing food boxes. Newly added spaces - 6 and #7 were monitored but not in use during the visit due to staffing shortages. Two (2) playgrounds were monitored, and no safety hazards were observed on either playground. On the preschool playground, mulch was measured eight (8) inches deep beneath the slide structure, tunnel climber, and around the swings. On the school-age playground, mulch was measured at eight (8) inches beneath the climber and seven (7) inches beneath the swings and slide. Rest time was observed in space #1/2 and #3. Both classrooms were too dark for the staff members to adequately monitor the children. Consultation was provided to staff members in both spaces. The Staff and Training Worksheet was submitted prior to the visit. The ABCMS system was reviewed, and all staff members’ criminal background status was verified. Corrections were made on the Staff and Training Worksheet, and the updated information was verified by Mr. Smith. One (1) new staff file, two (2) new staff files and seven (7) children’s files were monitored. Children had blanket permission forms for sunscreens. One (1) of the staff members did not have all the training certificates for Health and Safety training. Per Mr. Smith, the orientation training provided by Southwestern Child Development Commission includes some of the health and safety training in the orientation module. Therefore, the training certificate for the orientation was present but not the certificates for some of the Health and Safety training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation during the summer months. You stated that school-age children are transported for field trips. I monitored two (2) vehicles today. Both vehicles had valid registration cards, insurance cards, and inspection forms stored in the compartments. Fire extinguishers and first aid kits were also present in the compartments of both vehicles. The tires on both vehicles were in adequate condition. The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #1/2 and #3, staff member did not have adequate lighting to monitor children during the rest time. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above the sink in space #1 was not covered by the safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of hair spray was stored in an unlocked cabinet in Space #1, and a can of aerosol sunscreen was stored in a clear backpack inside an unlocked cabinet in Space #4. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was maintained in space #1 without its original box with the pharmacy label. .0803(2)(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 on 3/20/25 and the drill was not conducted in June. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 807: Safe environment All licensed space must be safe for children. During rest time monitoring, the lighting in space #1/2 and #3 were not adequate. The staff members must be able to adequately monitor children’s breathing, coloring of their faces and if their faces were covered by their blankets. You can adjust the lighting level by installing lamps or opening curtains. Refer to .0601(a). 812: Electrical outlet Electrical outlets and power strips, not in use, which were located in space used by children must have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to .0604(c). Please cover all outlets at five (5) feet or under. The outlet by the sink in space #1 was covered during the visit. 840: Hazardous products All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked room or cabinet. Refer to 15A NCAC 18A .2820(b). Please remove Herbal Essence hair spray from space #1/2 (room 115) and aerosol sunscreens from the clear backpack in space #4 (room 121) and maintain them in locked storage(s). 844: medication in original box Prescribed medicine must be in original pharmacy labeled container. Refer to .0803(2)(a) Please ask the parent to provide the medication’s original box with a pharmacy label or a pharmacy print-out with the child’s name and the name of the prescribed medications. 1811: Shelter-in-place/lockdown drills Shelter-in-place or lockdown drills must be practiced every three months and/or drill record was incomplete. A shelter-in-place or a lockdown drill was due in June, 2025. Please conduct a drill immediately. Refer to .0604(u). The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: We discussed the ABCMS system. According to Mr. Smith, there is a discrepancy between one (1) staff member’s last name and their ID, which has prevented the addition of this staff member to the roster in the system. Mr. Smith is currently working with ABCMS technical support to resolve the issue. Mr. Smith is currently working on completing the roster for the program on ABCMS. Per ABCMS provider portal guide, administrators do not have access to each staff members’ criminal background letters. You can review the guide on the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/A/ABCMS_Provider_Portal_Access_Guide.pdf?ver=DWF7XsuhX-Y%3d Aquatic Policy requirements: Aquatics policy is required for any activities that take place in or near a body of water. The program must develop an aquatic policy that includes the following items listed under .1403(g). The staff members who supervise children on an aquatic activity must annually review the program’s aquatic policy and sign statements. Additionally, written permission from parents for participation in aquatic activities must be obtained prior to children engaged in the activities. The written permission must include a statement that parents are aware of the program’s policy. The copy of the permission form must be maintained in the child’s file. 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS (g) Prior to children participating in aquatic activities, the center shall develop policies that address the following: (1) aquatic safety hazards; (2) pool and aquatic activity area supervision including restroom or changing room use; (3) how discipline will be handled during aquatic activities; (4) the facility's off-premises and transportation policies and procedures; and (5) that children shall be directed to exit the water during an emergency. (h) Before staff first supervise children on an aquatic activity, and annually thereafter, staff shall sign and date statements that they have reviewed: (1) the center policies as specified in Paragraph (g) of this Rule; (2) any guidelines provided by the pool operator or other off-site aquatic facility; and (3) the requirements of this Rule. The statement shall be maintained in the staff person's personnel file for one year or until it is superseded by a new statement. (i) Centers shall obtain written permission from parents for participation in aquatic activities. The written permission shall include a statement that parents are aware of the center's aquatic policies specified in Paragraph (g) of this Rule. The center shall maintain copies of written parental permission in each child's file. Forms: The following must be completed on the forms provided by the Division: • Program Application • Fire inspections • Incident log • Criminal background check documents • Rated License Assessment Application Although programs may create their own forms except for the forms listed above, each form must include required categories of information. For example, facility identifying information, the child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved, if applicable, cause of injury, if applicable, type of injury, if applicable, body part injured, if applicable, where the child received medical treatment, if applicable, description of how and where the incident occurred, and the First Aid received, and steps taken to prevent reoccurrence. Please use the documents provided by the Division as resources and make sure to include all the required information, if you create a form. On-going Training resources: North Carolina Rated License Assessment Project website has many free training available about ERS-3. Please visit https://www.ncrlap.org/, create username and password. Under training tab, you can find different training topics. Routine unannounced visit and annual compliance visit: Due to the requirement that annual compliance visits be completed within 364 days of the previous visit, a routine unannounced visit will not be conducted this year. Instead, a second annual compliance visit will be scheduled toward the end of this school year. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/2/2025 Number Present: 57 Completed Date: 7/2/2025 Age: From 3 To 11 Total Minutes: 278 Time In: 09:17 AM Time Out: 01:55 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Jaqueline Collins, teacher, during the visit. A signed copy of the visit summary was electronically emailed to you. Mr. Smith was available during the visit but accompanied school-age field trip in the afternoon. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mount Carmel Baptist Church of Asheville, Inc. is current/active as of 7/1/25. Permit type – a five-star center license issued on 6/11/25. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exits only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/12/24. The last fire drill was practiced on 6/23/25. The last shelter-in-place drill was practiced on 3/20/25. The last playground inspection was documented on 6/30/25. The last fire inspection was approved on 3/31/25, The last sanitation inspection was conducted on 9/13/24 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 12/10/24. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 9/6/23 without hazards. Lead paint and asbestos testing is exempted. Upon arrival, I announced my presence and the purpose of the visit. Children were observed. In space #1, 1A and 1B were combined, and a total of fourteen (14) children, three-to-four years old, were present with two (2) staff members. The children engaged in free play with pretend food, blocks, block accessories and other materials. One (1) emergency medication was maintained in the backpack. The authorization form, medication log, action plan and the storage were in compliance. In space #2, a group of thirteen (13) children, four-to-five years old also engaged in free play with baby dolls, games, blocks, manipulatives and toy vehicles. The school-age children from space #3, #4, and #5 had breakfast. A cup of yogurt, granola, graham crackers, sliced apples, and milk were served. These items were accurately listed on the menu. A total of thirty (30) children, five (5) to eleven (11) years old, were present across the three (3) classroom spaces #3, #4, and #5. The school-age children left for a field trip around 12:00 pm. The group visited a Christian program facility to volunteer by packing food boxes. Newly added spaces - 6 and #7 were monitored but not in use during the visit due to staffing shortages. Two (2) playgrounds were monitored, and no safety hazards were observed on either playground. On the preschool playground, mulch was measured eight (8) inches deep beneath the slide structure, tunnel climber, and around the swings. On the school-age playground, mulch was measured at eight (8) inches beneath the climber and seven (7) inches beneath the swings and slide. Rest time was observed in space #1/2 and #3. Both classrooms were too dark for the staff members to adequately monitor the children. Consultation was provided to staff members in both spaces. The Staff and Training Worksheet was submitted prior to the visit. The ABCMS system was reviewed, and all staff members’ criminal background status was verified. Corrections were made on the Staff and Training Worksheet, and the updated information was verified by Mr. Smith. One (1) new staff file, two (2) new staff files and seven (7) children’s files were monitored. Children had blanket permission forms for sunscreens. One (1) of the staff members did not have all the training certificates for Health and Safety training. Per Mr. Smith, the orientation training provided by Southwestern Child Development Commission includes some of the health and safety training in the orientation module. Therefore, the training certificate for the orientation was present but not the certificates for some of the Health and Safety training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation during the summer months. You stated that school-age children are transported for field trips. I monitored two (2) vehicles today. Both vehicles had valid registration cards, insurance cards, and inspection forms stored in the compartments. Fire extinguishers and first aid kits were also present in the compartments of both vehicles. The tires on both vehicles were in adequate condition. The following violations were documented during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space #1/2 and #3, staff member did not have adequate lighting to monitor children during the rest time. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. An outlet above the sink in space #1 was not covered by the safety cover. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A can of hair spray was stored in an unlocked cabinet in Space #1, and a can of aerosol sunscreen was stored in a clear backpack inside an unlocked cabinet in Space #4. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler was maintained in space #1 without its original box with the pharmacy label. .0803(2)(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 on 3/20/25 and the drill was not conducted in June. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 807: Safe environment All licensed space must be safe for children. During rest time monitoring, the lighting in space #1/2 and #3 were not adequate. The staff members must be able to adequately monitor children’s breathing, coloring of their faces and if their faces were covered by their blankets. You can adjust the lighting level by installing lamps or opening curtains. Refer to .0601(a). 812: Electrical outlet Electrical outlets and power strips, not in use, which were located in space used by children must have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Refer to .0604(c). Please cover all outlets at five (5) feet or under. The outlet by the sink in space #1 was covered during the visit. 840: Hazardous products All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled must be stored in a locked room or cabinet. Refer to 15A NCAC 18A .2820(b). Please remove Herbal Essence hair spray from space #1/2 (room 115) and aerosol sunscreens from the clear backpack in space #4 (room 121) and maintain them in locked storage(s). 844: medication in original box Prescribed medicine must be in original pharmacy labeled container. Refer to .0803(2)(a) Please ask the parent to provide the medication’s original box with a pharmacy label or a pharmacy print-out with the child’s name and the name of the prescribed medications. 1811: Shelter-in-place/lockdown drills Shelter-in-place or lockdown drills must be practiced every three months and/or drill record was incomplete. A shelter-in-place or a lockdown drill was due in June, 2025. Please conduct a drill immediately. Refer to .0604(u). The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: We discussed the ABCMS system. According to Mr. Smith, there is a discrepancy between one (1) staff member’s last name and their ID, which has prevented the addition of this staff member to the roster in the system. Mr. Smith is currently working with ABCMS technical support to resolve the issue. Mr. Smith is currently working on completing the roster for the program on ABCMS. Per ABCMS provider portal guide, administrators do not have access to each staff members’ criminal background letters. You can review the guide on the following website: https://ncchildcare.ncdhhs.gov/Portals/0/documents/pdf/A/ABCMS_Provider_Portal_Access_Guide.pdf?ver=DWF7XsuhX-Y%3d Aquatic Policy requirements: Aquatics policy is required for any activities that take place in or near a body of water. The program must develop an aquatic policy that includes the following items listed under .1403(g). The staff members who supervise children on an aquatic activity must annually review the program’s aquatic policy and sign statements. Additionally, written permission from parents for participation in aquatic activities must be obtained prior to children engaged in the activities. The written permission must include a statement that parents are aware of the program’s policy. The copy of the permission form must be maintained in the child’s file. 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS (g) Prior to children participating in aquatic activities, the center shall develop policies that address the following: (1) aquatic safety hazards; (2) pool and aquatic activity area supervision including restroom or changing room use; (3) how discipline will be handled during aquatic activities; (4) the facility's off-premises and transportation policies and procedures; and (5) that children shall be directed to exit the water during an emergency. (h) Before staff first supervise children on an aquatic activity, and annually thereafter, staff shall sign and date statements that they have reviewed: (1) the center policies as specified in Paragraph (g) of this Rule; (2) any guidelines provided by the pool operator or other off-site aquatic facility; and (3) the requirements of this Rule. The statement shall be maintained in the staff person's personnel file for one year or until it is superseded by a new statement. (i) Centers shall obtain written permission from parents for participation in aquatic activities. The written permission shall include a statement that parents are aware of the center's aquatic policies specified in Paragraph (g) of this Rule. The center shall maintain copies of written parental permission in each child's file. Forms: The following must be completed on the forms provided by the Division: • Program Application • Fire inspections • Incident log • Criminal background check documents • Rated License Assessment Application Although programs may create their own forms except for the forms listed above, each form must include required categories of information. For example, facility identifying information, the child's name, date and time of the incident, witness to the incident, time the parent is notified of the incident and by whom, piece of equipment involved, if applicable, cause of injury, if applicable, type of injury, if applicable, body part injured, if applicable, where the child received medical treatment, if applicable, description of how and where the incident occurred, and the First Aid received, and steps taken to prevent reoccurrence. Please use the documents provided by the Division as resources and make sure to include all the required information, if you create a form. On-going Training resources: North Carolina Rated License Assessment Project website has many free training available about ERS-3. Please visit https://www.ncrlap.org/, create username and password. Under training tab, you can find different training topics. Routine unannounced visit and annual compliance visit: Due to the requirement that annual compliance visits be completed within 364 days of the previous visit, a routine unannounced visit will not be conducted this year. Instead, a second annual compliance visit will be scheduled toward the end of this school year. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/12/2024 Number Present: 41 Completed Date: 7/12/2024 Age: From 2 To 10 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 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 Kaoru Eddins Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mt. Carmel Baptist Church, is current/active as of 7/9/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 6/7/24. The last lockdown drill was practiced on 6/24/24. Prior to the drill, it was conducted on 2/15/24. The last playground inspection was documented on 6/13/24. The last fire inspection was conducted on 6/25/24 but not yet approved. Re-inspection is required. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space 1A, a group of seven (7) children, two-to-three-years of age, engaged in free play with housekeeping materials, dinosaurs and toy vehicles. One (1) child who brings his/her asthma medication was not present. No other medications are maintained in the classroom. Supervision and interaction was adequate. In space 1B, two (2) children, two-to-three-years of age, attended today. Due to low attendance, the children joined the children in space 1A today. In space #2, a group of thirteen (13) children, four-to-five years of age had breakfast and transitioned from the gym to the classroom. The children had super donuts, fresh orange, fruit juice and milk for breakfast. The children and two (2) teachers took an elevator back to the classroom. In the classroom, the children sat at the tables and engaged in dinosaur glueing activities and sensory activities. Interaction and supervision were adequate. The classroom space #3 was closed today due to low attendance. Three (3) school-age children joined the group in space #5. In space #4, a group of six (6) children, three-to-four years of age engaged in group time. The children and the teachers discussed love, friendship and loyalty and colored pictures reflecting the discussion. One (1) emergency medication is maintained in the backpack. The permission form was valid, but there was no action plan in the file. In space #5, a group of fifteen (15) children engaged in discussion and math activities. They are school-age children. The supervision and interaction were adequate. Eight children’s files and fifteen (15) staff members’ files were monitored. All children’s files were in compliance with the child care rules. Three (3) new staff members’ files and one (1) staff member’s file were monitored in full. Eleven (11) staff member’s files were partially monitored for health and safety training and on-going training hours due to lack of information on the Staff and Training Worksheet. Even though it is not noted on the Staff and Training worksheet, all existing staff members have completed health and safety training and required training hours. One (1) staff member does not have medical statement due to not working more than ten (10) days as a substitute staff. Playgrounds were inspected. On the preschool playground, there were swings, a slide structure, a climber, balls, toys vehicles and bubbles were available. The mulch/sand was measured for six (6) inches by the slide, eight (8) inches by the climber and seven (7) inches by the swings. On the school-age playground, a slide structure, Gava-pit, climber and swings were available. Sand/mulch was measured for nine (9) inches by the slide and climber, and seven (7) inches by the swings. No hazardous products were observed. I reviewed two (2) unlicensed spaces. The rooms are 122 and 126. There is one (1) toilet shared by the two (2) rooms. There is one (1) sink in each room. They are both suited for classroom space. The building, fire and sanitation inspections need to be completed prior to licensing inspection. If those classrooms are licensed, the capacity of the facility must also be increased. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport school-age children for summer camp field trips. I monitored one (1) out of two (2) vehicles today. One (1) van is used by the church youth group trip. Registration and inspection for one (1) vehicle is valid. The inside is clean and there was first aid kit and fire extinguisher. The tires are in excellent condition. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, a can of Downy Air Calm aerosol can was stored in the cabinet by the door. The aerosol can was out of reach of children but the cabinet was locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 2/15/24 then 6/24/24. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no Action plan for the child with an epi-pen for peanut allergy in space #4. .0801(b) Technical assistance was provided as follows: 840: Potentially hazardous products Potentially hazardous chemicals including aerosol cans must be stored in a locked storage. Even though it may not be accessible to the children, if the cabinet is not locked, it is cited as a violation. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1811:Lockdown drills: A shelter-in-place or a lockdown drill is required every three (3) months. If a shelter-in-place or a lockdown drill is conducted in February, the next drill shall be conducted in May. 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). 1834: Medical Action plan When a child requires an emergency medication, such as asthma, seizure, diabetes or life-threatening allergy, an action plan is required along with medication and medication authorization form. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed Rated License Assessment, current cohort plans and the new QIRS system. As of today, the facility can still apply for the prep-year assessment with ECERS-R and SACERS-U. You can voluntarily renew the Rated License but Hold Harmless is now extended until the new QRIS system is implemented. With the new QIRS system, ECERS-3, ITERS-3 and SACERS-U will be used for the Environment Rating Scales. An application for the Prep-year assessment was shared with you via email during the visit. We discussed new classroom space. Please complete the building inspection, the fire inspection and the sanitation inspection for the spaces. The rooms were measured, though this does not mean that they are licensed. All processes shall be completed before the rooms are licensed. The rooms were measured to share the estimated number of children allowed in the spaces. There are fifteen (15) toilets available in the facility. One (1) toilet counts for fifteen (15) children and adults. If you are considering to increase your capacity, please consider the number of toilet counts for the children and the staff members. We discussed health and safety training and on-going training. On the staff and training worksheet, some of the required training hours were incorrect. Mr. Smith corrected the hours on the Staff and Training Worksheet during the visit. Please note that each staff member’s on-going training period differs based on their employment dates. Health and Safety training shall be renewed every five (5) years, and the training shall also be completed within one (1) year based on the employment date for each staff member. Reminder: Many staff members’ First Aid/CPR certificates will be expiring on 8/8/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/12/2024 Number Present: 41 Completed Date: 7/12/2024 Age: From 2 To 10 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 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 Kaoru Eddins Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mt. Carmel Baptist Church, is current/active as of 7/9/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 6/7/24. The last lockdown drill was practiced on 6/24/24. Prior to the drill, it was conducted on 2/15/24. The last playground inspection was documented on 6/13/24. The last fire inspection was conducted on 6/25/24 but not yet approved. Re-inspection is required. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space 1A, a group of seven (7) children, two-to-three-years of age, engaged in free play with housekeeping materials, dinosaurs and toy vehicles. One (1) child who brings his/her asthma medication was not present. No other medications are maintained in the classroom. Supervision and interaction was adequate. In space 1B, two (2) children, two-to-three-years of age, attended today. Due to low attendance, the children joined the children in space 1A today. In space #2, a group of thirteen (13) children, four-to-five years of age had breakfast and transitioned from the gym to the classroom. The children had super donuts, fresh orange, fruit juice and milk for breakfast. The children and two (2) teachers took an elevator back to the classroom. In the classroom, the children sat at the tables and engaged in dinosaur glueing activities and sensory activities. Interaction and supervision were adequate. The classroom space #3 was closed today due to low attendance. Three (3) school-age children joined the group in space #5. In space #4, a group of six (6) children, three-to-four years of age engaged in group time. The children and the teachers discussed love, friendship and loyalty and colored pictures reflecting the discussion. One (1) emergency medication is maintained in the backpack. The permission form was valid, but there was no action plan in the file. In space #5, a group of fifteen (15) children engaged in discussion and math activities. They are school-age children. The supervision and interaction were adequate. Eight children’s files and fifteen (15) staff members’ files were monitored. All children’s files were in compliance with the child care rules. Three (3) new staff members’ files and one (1) staff member’s file were monitored in full. Eleven (11) staff member’s files were partially monitored for health and safety training and on-going training hours due to lack of information on the Staff and Training Worksheet. Even though it is not noted on the Staff and Training worksheet, all existing staff members have completed health and safety training and required training hours. One (1) staff member does not have medical statement due to not working more than ten (10) days as a substitute staff. Playgrounds were inspected. On the preschool playground, there were swings, a slide structure, a climber, balls, toys vehicles and bubbles were available. The mulch/sand was measured for six (6) inches by the slide, eight (8) inches by the climber and seven (7) inches by the swings. On the school-age playground, a slide structure, Gava-pit, climber and swings were available. Sand/mulch was measured for nine (9) inches by the slide and climber, and seven (7) inches by the swings. No hazardous products were observed. I reviewed two (2) unlicensed spaces. The rooms are 122 and 126. There is one (1) toilet shared by the two (2) rooms. There is one (1) sink in each room. They are both suited for classroom space. The building, fire and sanitation inspections need to be completed prior to licensing inspection. If those classrooms are licensed, the capacity of the facility must also be increased. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport school-age children for summer camp field trips. I monitored one (1) out of two (2) vehicles today. One (1) van is used by the church youth group trip. Registration and inspection for one (1) vehicle is valid. The inside is clean and there was first aid kit and fire extinguisher. The tires are in excellent condition. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, a can of Downy Air Calm aerosol can was stored in the cabinet by the door. The aerosol can was out of reach of children but the cabinet was locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 2/15/24 then 6/24/24. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no Action plan for the child with an epi-pen for peanut allergy in space #4. .0801(b) Technical assistance was provided as follows: 840: Potentially hazardous products Potentially hazardous chemicals including aerosol cans must be stored in a locked storage. Even though it may not be accessible to the children, if the cabinet is not locked, it is cited as a violation. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1811:Lockdown drills: A shelter-in-place or a lockdown drill is required every three (3) months. If a shelter-in-place or a lockdown drill is conducted in February, the next drill shall be conducted in May. 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). 1834: Medical Action plan When a child requires an emergency medication, such as asthma, seizure, diabetes or life-threatening allergy, an action plan is required along with medication and medication authorization form. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed Rated License Assessment, current cohort plans and the new QIRS system. As of today, the facility can still apply for the prep-year assessment with ECERS-R and SACERS-U. You can voluntarily renew the Rated License but Hold Harmless is now extended until the new QRIS system is implemented. With the new QIRS system, ECERS-3, ITERS-3 and SACERS-U will be used for the Environment Rating Scales. An application for the Prep-year assessment was shared with you via email during the visit. We discussed new classroom space. Please complete the building inspection, the fire inspection and the sanitation inspection for the spaces. The rooms were measured, though this does not mean that they are licensed. All processes shall be completed before the rooms are licensed. The rooms were measured to share the estimated number of children allowed in the spaces. There are fifteen (15) toilets available in the facility. One (1) toilet counts for fifteen (15) children and adults. If you are considering to increase your capacity, please consider the number of toilet counts for the children and the staff members. We discussed health and safety training and on-going training. On the staff and training worksheet, some of the required training hours were incorrect. Mr. Smith corrected the hours on the Staff and Training Worksheet during the visit. Please note that each staff member’s on-going training period differs based on their employment dates. Health and Safety training shall be renewed every five (5) years, and the training shall also be completed within one (1) year based on the employment date for each staff member. Reminder: Many staff members’ First Aid/CPR certificates will be expiring on 8/8/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/12/2024 Number Present: 41 Completed Date: 7/12/2024 Age: From 2 To 10 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 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 Kaoru Eddins Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mt. Carmel Baptist Church, is current/active as of 7/9/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 6/7/24. The last lockdown drill was practiced on 6/24/24. Prior to the drill, it was conducted on 2/15/24. The last playground inspection was documented on 6/13/24. The last fire inspection was conducted on 6/25/24 but not yet approved. Re-inspection is required. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space 1A, a group of seven (7) children, two-to-three-years of age, engaged in free play with housekeeping materials, dinosaurs and toy vehicles. One (1) child who brings his/her asthma medication was not present. No other medications are maintained in the classroom. Supervision and interaction was adequate. In space 1B, two (2) children, two-to-three-years of age, attended today. Due to low attendance, the children joined the children in space 1A today. In space #2, a group of thirteen (13) children, four-to-five years of age had breakfast and transitioned from the gym to the classroom. The children had super donuts, fresh orange, fruit juice and milk for breakfast. The children and two (2) teachers took an elevator back to the classroom. In the classroom, the children sat at the tables and engaged in dinosaur glueing activities and sensory activities. Interaction and supervision were adequate. The classroom space #3 was closed today due to low attendance. Three (3) school-age children joined the group in space #5. In space #4, a group of six (6) children, three-to-four years of age engaged in group time. The children and the teachers discussed love, friendship and loyalty and colored pictures reflecting the discussion. One (1) emergency medication is maintained in the backpack. The permission form was valid, but there was no action plan in the file. In space #5, a group of fifteen (15) children engaged in discussion and math activities. They are school-age children. The supervision and interaction were adequate. Eight children’s files and fifteen (15) staff members’ files were monitored. All children’s files were in compliance with the child care rules. Three (3) new staff members’ files and one (1) staff member’s file were monitored in full. Eleven (11) staff member’s files were partially monitored for health and safety training and on-going training hours due to lack of information on the Staff and Training Worksheet. Even though it is not noted on the Staff and Training worksheet, all existing staff members have completed health and safety training and required training hours. One (1) staff member does not have medical statement due to not working more than ten (10) days as a substitute staff. Playgrounds were inspected. On the preschool playground, there were swings, a slide structure, a climber, balls, toys vehicles and bubbles were available. The mulch/sand was measured for six (6) inches by the slide, eight (8) inches by the climber and seven (7) inches by the swings. On the school-age playground, a slide structure, Gava-pit, climber and swings were available. Sand/mulch was measured for nine (9) inches by the slide and climber, and seven (7) inches by the swings. No hazardous products were observed. I reviewed two (2) unlicensed spaces. The rooms are 122 and 126. There is one (1) toilet shared by the two (2) rooms. There is one (1) sink in each room. They are both suited for classroom space. The building, fire and sanitation inspections need to be completed prior to licensing inspection. If those classrooms are licensed, the capacity of the facility must also be increased. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport school-age children for summer camp field trips. I monitored one (1) out of two (2) vehicles today. One (1) van is used by the church youth group trip. Registration and inspection for one (1) vehicle is valid. The inside is clean and there was first aid kit and fire extinguisher. The tires are in excellent condition. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, a can of Downy Air Calm aerosol can was stored in the cabinet by the door. The aerosol can was out of reach of children but the cabinet was locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 2/15/24 then 6/24/24. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no Action plan for the child with an epi-pen for peanut allergy in space #4. .0801(b) Technical assistance was provided as follows: 840: Potentially hazardous products Potentially hazardous chemicals including aerosol cans must be stored in a locked storage. Even though it may not be accessible to the children, if the cabinet is not locked, it is cited as a violation. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1811:Lockdown drills: A shelter-in-place or a lockdown drill is required every three (3) months. If a shelter-in-place or a lockdown drill is conducted in February, the next drill shall be conducted in May. 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). 1834: Medical Action plan When a child requires an emergency medication, such as asthma, seizure, diabetes or life-threatening allergy, an action plan is required along with medication and medication authorization form. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed Rated License Assessment, current cohort plans and the new QIRS system. As of today, the facility can still apply for the prep-year assessment with ECERS-R and SACERS-U. You can voluntarily renew the Rated License but Hold Harmless is now extended until the new QRIS system is implemented. With the new QIRS system, ECERS-3, ITERS-3 and SACERS-U will be used for the Environment Rating Scales. An application for the Prep-year assessment was shared with you via email during the visit. We discussed new classroom space. Please complete the building inspection, the fire inspection and the sanitation inspection for the spaces. The rooms were measured, though this does not mean that they are licensed. All processes shall be completed before the rooms are licensed. The rooms were measured to share the estimated number of children allowed in the spaces. There are fifteen (15) toilets available in the facility. One (1) toilet counts for fifteen (15) children and adults. If you are considering to increase your capacity, please consider the number of toilet counts for the children and the staff members. We discussed health and safety training and on-going training. On the staff and training worksheet, some of the required training hours were incorrect. Mr. Smith corrected the hours on the Staff and Training Worksheet during the visit. Please note that each staff member’s on-going training period differs based on their employment dates. Health and Safety training shall be renewed every five (5) years, and the training shall also be completed within one (1) year based on the employment date for each staff member. Reminder: Many staff members’ First Aid/CPR certificates will be expiring on 8/8/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/12/2024 Number Present: 41 Completed Date: 7/12/2024 Age: From 2 To 10 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 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 Kaoru Eddins Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mt. Carmel Baptist Church, is current/active as of 7/9/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 6/7/24. The last lockdown drill was practiced on 6/24/24. Prior to the drill, it was conducted on 2/15/24. The last playground inspection was documented on 6/13/24. The last fire inspection was conducted on 6/25/24 but not yet approved. Re-inspection is required. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space 1A, a group of seven (7) children, two-to-three-years of age, engaged in free play with housekeeping materials, dinosaurs and toy vehicles. One (1) child who brings his/her asthma medication was not present. No other medications are maintained in the classroom. Supervision and interaction was adequate. In space 1B, two (2) children, two-to-three-years of age, attended today. Due to low attendance, the children joined the children in space 1A today. In space #2, a group of thirteen (13) children, four-to-five years of age had breakfast and transitioned from the gym to the classroom. The children had super donuts, fresh orange, fruit juice and milk for breakfast. The children and two (2) teachers took an elevator back to the classroom. In the classroom, the children sat at the tables and engaged in dinosaur glueing activities and sensory activities. Interaction and supervision were adequate. The classroom space #3 was closed today due to low attendance. Three (3) school-age children joined the group in space #5. In space #4, a group of six (6) children, three-to-four years of age engaged in group time. The children and the teachers discussed love, friendship and loyalty and colored pictures reflecting the discussion. One (1) emergency medication is maintained in the backpack. The permission form was valid, but there was no action plan in the file. In space #5, a group of fifteen (15) children engaged in discussion and math activities. They are school-age children. The supervision and interaction were adequate. Eight children’s files and fifteen (15) staff members’ files were monitored. All children’s files were in compliance with the child care rules. Three (3) new staff members’ files and one (1) staff member’s file were monitored in full. Eleven (11) staff member’s files were partially monitored for health and safety training and on-going training hours due to lack of information on the Staff and Training Worksheet. Even though it is not noted on the Staff and Training worksheet, all existing staff members have completed health and safety training and required training hours. One (1) staff member does not have medical statement due to not working more than ten (10) days as a substitute staff. Playgrounds were inspected. On the preschool playground, there were swings, a slide structure, a climber, balls, toys vehicles and bubbles were available. The mulch/sand was measured for six (6) inches by the slide, eight (8) inches by the climber and seven (7) inches by the swings. On the school-age playground, a slide structure, Gava-pit, climber and swings were available. Sand/mulch was measured for nine (9) inches by the slide and climber, and seven (7) inches by the swings. No hazardous products were observed. I reviewed two (2) unlicensed spaces. The rooms are 122 and 126. There is one (1) toilet shared by the two (2) rooms. There is one (1) sink in each room. They are both suited for classroom space. The building, fire and sanitation inspections need to be completed prior to licensing inspection. If those classrooms are licensed, the capacity of the facility must also be increased. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport school-age children for summer camp field trips. I monitored one (1) out of two (2) vehicles today. One (1) van is used by the church youth group trip. Registration and inspection for one (1) vehicle is valid. The inside is clean and there was first aid kit and fire extinguisher. The tires are in excellent condition. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, a can of Downy Air Calm aerosol can was stored in the cabinet by the door. The aerosol can was out of reach of children but the cabinet was locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 2/15/24 then 6/24/24. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no Action plan for the child with an epi-pen for peanut allergy in space #4. .0801(b) Technical assistance was provided as follows: 840: Potentially hazardous products Potentially hazardous chemicals including aerosol cans must be stored in a locked storage. Even though it may not be accessible to the children, if the cabinet is not locked, it is cited as a violation. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1811:Lockdown drills: A shelter-in-place or a lockdown drill is required every three (3) months. If a shelter-in-place or a lockdown drill is conducted in February, the next drill shall be conducted in May. 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). 1834: Medical Action plan When a child requires an emergency medication, such as asthma, seizure, diabetes or life-threatening allergy, an action plan is required along with medication and medication authorization form. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed Rated License Assessment, current cohort plans and the new QIRS system. As of today, the facility can still apply for the prep-year assessment with ECERS-R and SACERS-U. You can voluntarily renew the Rated License but Hold Harmless is now extended until the new QRIS system is implemented. With the new QIRS system, ECERS-3, ITERS-3 and SACERS-U will be used for the Environment Rating Scales. An application for the Prep-year assessment was shared with you via email during the visit. We discussed new classroom space. Please complete the building inspection, the fire inspection and the sanitation inspection for the spaces. The rooms were measured, though this does not mean that they are licensed. All processes shall be completed before the rooms are licensed. The rooms were measured to share the estimated number of children allowed in the spaces. There are fifteen (15) toilets available in the facility. One (1) toilet counts for fifteen (15) children and adults. If you are considering to increase your capacity, please consider the number of toilet counts for the children and the staff members. We discussed health and safety training and on-going training. On the staff and training worksheet, some of the required training hours were incorrect. Mr. Smith corrected the hours on the Staff and Training Worksheet during the visit. Please note that each staff member’s on-going training period differs based on their employment dates. Health and Safety training shall be renewed every five (5) years, and the training shall also be completed within one (1) year based on the employment date for each staff member. Reminder: Many staff members’ First Aid/CPR certificates will be expiring on 8/8/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/12/2024 Number Present: 41 Completed Date: 7/12/2024 Age: From 2 To 10 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 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 Kaoru Eddins Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mt. Carmel Baptist Church, is current/active as of 7/9/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 6/7/24. The last lockdown drill was practiced on 6/24/24. Prior to the drill, it was conducted on 2/15/24. The last playground inspection was documented on 6/13/24. The last fire inspection was conducted on 6/25/24 but not yet approved. Re-inspection is required. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space 1A, a group of seven (7) children, two-to-three-years of age, engaged in free play with housekeeping materials, dinosaurs and toy vehicles. One (1) child who brings his/her asthma medication was not present. No other medications are maintained in the classroom. Supervision and interaction was adequate. In space 1B, two (2) children, two-to-three-years of age, attended today. Due to low attendance, the children joined the children in space 1A today. In space #2, a group of thirteen (13) children, four-to-five years of age had breakfast and transitioned from the gym to the classroom. The children had super donuts, fresh orange, fruit juice and milk for breakfast. The children and two (2) teachers took an elevator back to the classroom. In the classroom, the children sat at the tables and engaged in dinosaur glueing activities and sensory activities. Interaction and supervision were adequate. The classroom space #3 was closed today due to low attendance. Three (3) school-age children joined the group in space #5. In space #4, a group of six (6) children, three-to-four years of age engaged in group time. The children and the teachers discussed love, friendship and loyalty and colored pictures reflecting the discussion. One (1) emergency medication is maintained in the backpack. The permission form was valid, but there was no action plan in the file. In space #5, a group of fifteen (15) children engaged in discussion and math activities. They are school-age children. The supervision and interaction were adequate. Eight children’s files and fifteen (15) staff members’ files were monitored. All children’s files were in compliance with the child care rules. Three (3) new staff members’ files and one (1) staff member’s file were monitored in full. Eleven (11) staff member’s files were partially monitored for health and safety training and on-going training hours due to lack of information on the Staff and Training Worksheet. Even though it is not noted on the Staff and Training worksheet, all existing staff members have completed health and safety training and required training hours. One (1) staff member does not have medical statement due to not working more than ten (10) days as a substitute staff. Playgrounds were inspected. On the preschool playground, there were swings, a slide structure, a climber, balls, toys vehicles and bubbles were available. The mulch/sand was measured for six (6) inches by the slide, eight (8) inches by the climber and seven (7) inches by the swings. On the school-age playground, a slide structure, Gava-pit, climber and swings were available. Sand/mulch was measured for nine (9) inches by the slide and climber, and seven (7) inches by the swings. No hazardous products were observed. I reviewed two (2) unlicensed spaces. The rooms are 122 and 126. There is one (1) toilet shared by the two (2) rooms. There is one (1) sink in each room. They are both suited for classroom space. The building, fire and sanitation inspections need to be completed prior to licensing inspection. If those classrooms are licensed, the capacity of the facility must also be increased. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport school-age children for summer camp field trips. I monitored one (1) out of two (2) vehicles today. One (1) van is used by the church youth group trip. Registration and inspection for one (1) vehicle is valid. The inside is clean and there was first aid kit and fire extinguisher. The tires are in excellent condition. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, a can of Downy Air Calm aerosol can was stored in the cabinet by the door. The aerosol can was out of reach of children but the cabinet was locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 2/15/24 then 6/24/24. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no Action plan for the child with an epi-pen for peanut allergy in space #4. .0801(b) Technical assistance was provided as follows: 840: Potentially hazardous products Potentially hazardous chemicals including aerosol cans must be stored in a locked storage. Even though it may not be accessible to the children, if the cabinet is not locked, it is cited as a violation. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1811:Lockdown drills: A shelter-in-place or a lockdown drill is required every three (3) months. If a shelter-in-place or a lockdown drill is conducted in February, the next drill shall be conducted in May. 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). 1834: Medical Action plan When a child requires an emergency medication, such as asthma, seizure, diabetes or life-threatening allergy, an action plan is required along with medication and medication authorization form. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed Rated License Assessment, current cohort plans and the new QIRS system. As of today, the facility can still apply for the prep-year assessment with ECERS-R and SACERS-U. You can voluntarily renew the Rated License but Hold Harmless is now extended until the new QRIS system is implemented. With the new QIRS system, ECERS-3, ITERS-3 and SACERS-U will be used for the Environment Rating Scales. An application for the Prep-year assessment was shared with you via email during the visit. We discussed new classroom space. Please complete the building inspection, the fire inspection and the sanitation inspection for the spaces. The rooms were measured, though this does not mean that they are licensed. All processes shall be completed before the rooms are licensed. The rooms were measured to share the estimated number of children allowed in the spaces. There are fifteen (15) toilets available in the facility. One (1) toilet counts for fifteen (15) children and adults. If you are considering to increase your capacity, please consider the number of toilet counts for the children and the staff members. We discussed health and safety training and on-going training. On the staff and training worksheet, some of the required training hours were incorrect. Mr. Smith corrected the hours on the Staff and Training Worksheet during the visit. Please note that each staff member’s on-going training period differs based on their employment dates. Health and Safety training shall be renewed every five (5) years, and the training shall also be completed within one (1) year based on the employment date for each staff member. Reminder: Many staff members’ First Aid/CPR certificates will be expiring on 8/8/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/12/2024 Number Present: 41 Completed Date: 7/12/2024 Age: From 2 To 10 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 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 Kaoru Eddins Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mt. Carmel Baptist Church, is current/active as of 7/9/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 6/7/24. The last lockdown drill was practiced on 6/24/24. Prior to the drill, it was conducted on 2/15/24. The last playground inspection was documented on 6/13/24. The last fire inspection was conducted on 6/25/24 but not yet approved. Re-inspection is required. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space 1A, a group of seven (7) children, two-to-three-years of age, engaged in free play with housekeeping materials, dinosaurs and toy vehicles. One (1) child who brings his/her asthma medication was not present. No other medications are maintained in the classroom. Supervision and interaction was adequate. In space 1B, two (2) children, two-to-three-years of age, attended today. Due to low attendance, the children joined the children in space 1A today. In space #2, a group of thirteen (13) children, four-to-five years of age had breakfast and transitioned from the gym to the classroom. The children had super donuts, fresh orange, fruit juice and milk for breakfast. The children and two (2) teachers took an elevator back to the classroom. In the classroom, the children sat at the tables and engaged in dinosaur glueing activities and sensory activities. Interaction and supervision were adequate. The classroom space #3 was closed today due to low attendance. Three (3) school-age children joined the group in space #5. In space #4, a group of six (6) children, three-to-four years of age engaged in group time. The children and the teachers discussed love, friendship and loyalty and colored pictures reflecting the discussion. One (1) emergency medication is maintained in the backpack. The permission form was valid, but there was no action plan in the file. In space #5, a group of fifteen (15) children engaged in discussion and math activities. They are school-age children. The supervision and interaction were adequate. Eight children’s files and fifteen (15) staff members’ files were monitored. All children’s files were in compliance with the child care rules. Three (3) new staff members’ files and one (1) staff member’s file were monitored in full. Eleven (11) staff member’s files were partially monitored for health and safety training and on-going training hours due to lack of information on the Staff and Training Worksheet. Even though it is not noted on the Staff and Training worksheet, all existing staff members have completed health and safety training and required training hours. One (1) staff member does not have medical statement due to not working more than ten (10) days as a substitute staff. Playgrounds were inspected. On the preschool playground, there were swings, a slide structure, a climber, balls, toys vehicles and bubbles were available. The mulch/sand was measured for six (6) inches by the slide, eight (8) inches by the climber and seven (7) inches by the swings. On the school-age playground, a slide structure, Gava-pit, climber and swings were available. Sand/mulch was measured for nine (9) inches by the slide and climber, and seven (7) inches by the swings. No hazardous products were observed. I reviewed two (2) unlicensed spaces. The rooms are 122 and 126. There is one (1) toilet shared by the two (2) rooms. There is one (1) sink in each room. They are both suited for classroom space. The building, fire and sanitation inspections need to be completed prior to licensing inspection. If those classrooms are licensed, the capacity of the facility must also be increased. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport school-age children for summer camp field trips. I monitored one (1) out of two (2) vehicles today. One (1) van is used by the church youth group trip. Registration and inspection for one (1) vehicle is valid. The inside is clean and there was first aid kit and fire extinguisher. The tires are in excellent condition. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, a can of Downy Air Calm aerosol can was stored in the cabinet by the door. The aerosol can was out of reach of children but the cabinet was locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 2/15/24 then 6/24/24. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no Action plan for the child with an epi-pen for peanut allergy in space #4. .0801(b) Technical assistance was provided as follows: 840: Potentially hazardous products Potentially hazardous chemicals including aerosol cans must be stored in a locked storage. Even though it may not be accessible to the children, if the cabinet is not locked, it is cited as a violation. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1811:Lockdown drills: A shelter-in-place or a lockdown drill is required every three (3) months. If a shelter-in-place or a lockdown drill is conducted in February, the next drill shall be conducted in May. 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). 1834: Medical Action plan When a child requires an emergency medication, such as asthma, seizure, diabetes or life-threatening allergy, an action plan is required along with medication and medication authorization form. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed Rated License Assessment, current cohort plans and the new QIRS system. As of today, the facility can still apply for the prep-year assessment with ECERS-R and SACERS-U. You can voluntarily renew the Rated License but Hold Harmless is now extended until the new QRIS system is implemented. With the new QIRS system, ECERS-3, ITERS-3 and SACERS-U will be used for the Environment Rating Scales. An application for the Prep-year assessment was shared with you via email during the visit. We discussed new classroom space. Please complete the building inspection, the fire inspection and the sanitation inspection for the spaces. The rooms were measured, though this does not mean that they are licensed. All processes shall be completed before the rooms are licensed. The rooms were measured to share the estimated number of children allowed in the spaces. There are fifteen (15) toilets available in the facility. One (1) toilet counts for fifteen (15) children and adults. If you are considering to increase your capacity, please consider the number of toilet counts for the children and the staff members. We discussed health and safety training and on-going training. On the staff and training worksheet, some of the required training hours were incorrect. Mr. Smith corrected the hours on the Staff and Training Worksheet during the visit. Please note that each staff member’s on-going training period differs based on their employment dates. Health and Safety training shall be renewed every five (5) years, and the training shall also be completed within one (1) year based on the employment date for each staff member. Reminder: Many staff members’ First Aid/CPR certificates will be expiring on 8/8/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/12/2024 Number Present: 41 Completed Date: 7/12/2024 Age: From 2 To 10 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 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 Kaoru Eddins Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mt. Carmel Baptist Church, is current/active as of 7/9/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 6/7/24. The last lockdown drill was practiced on 6/24/24. Prior to the drill, it was conducted on 2/15/24. The last playground inspection was documented on 6/13/24. The last fire inspection was conducted on 6/25/24 but not yet approved. Re-inspection is required. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space 1A, a group of seven (7) children, two-to-three-years of age, engaged in free play with housekeeping materials, dinosaurs and toy vehicles. One (1) child who brings his/her asthma medication was not present. No other medications are maintained in the classroom. Supervision and interaction was adequate. In space 1B, two (2) children, two-to-three-years of age, attended today. Due to low attendance, the children joined the children in space 1A today. In space #2, a group of thirteen (13) children, four-to-five years of age had breakfast and transitioned from the gym to the classroom. The children had super donuts, fresh orange, fruit juice and milk for breakfast. The children and two (2) teachers took an elevator back to the classroom. In the classroom, the children sat at the tables and engaged in dinosaur glueing activities and sensory activities. Interaction and supervision were adequate. The classroom space #3 was closed today due to low attendance. Three (3) school-age children joined the group in space #5. In space #4, a group of six (6) children, three-to-four years of age engaged in group time. The children and the teachers discussed love, friendship and loyalty and colored pictures reflecting the discussion. One (1) emergency medication is maintained in the backpack. The permission form was valid, but there was no action plan in the file. In space #5, a group of fifteen (15) children engaged in discussion and math activities. They are school-age children. The supervision and interaction were adequate. Eight children’s files and fifteen (15) staff members’ files were monitored. All children’s files were in compliance with the child care rules. Three (3) new staff members’ files and one (1) staff member’s file were monitored in full. Eleven (11) staff member’s files were partially monitored for health and safety training and on-going training hours due to lack of information on the Staff and Training Worksheet. Even though it is not noted on the Staff and Training worksheet, all existing staff members have completed health and safety training and required training hours. One (1) staff member does not have medical statement due to not working more than ten (10) days as a substitute staff. Playgrounds were inspected. On the preschool playground, there were swings, a slide structure, a climber, balls, toys vehicles and bubbles were available. The mulch/sand was measured for six (6) inches by the slide, eight (8) inches by the climber and seven (7) inches by the swings. On the school-age playground, a slide structure, Gava-pit, climber and swings were available. Sand/mulch was measured for nine (9) inches by the slide and climber, and seven (7) inches by the swings. No hazardous products were observed. I reviewed two (2) unlicensed spaces. The rooms are 122 and 126. There is one (1) toilet shared by the two (2) rooms. There is one (1) sink in each room. They are both suited for classroom space. The building, fire and sanitation inspections need to be completed prior to licensing inspection. If those classrooms are licensed, the capacity of the facility must also be increased. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport school-age children for summer camp field trips. I monitored one (1) out of two (2) vehicles today. One (1) van is used by the church youth group trip. Registration and inspection for one (1) vehicle is valid. The inside is clean and there was first aid kit and fire extinguisher. The tires are in excellent condition. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, a can of Downy Air Calm aerosol can was stored in the cabinet by the door. The aerosol can was out of reach of children but the cabinet was locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 2/15/24 then 6/24/24. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no Action plan for the child with an epi-pen for peanut allergy in space #4. .0801(b) Technical assistance was provided as follows: 840: Potentially hazardous products Potentially hazardous chemicals including aerosol cans must be stored in a locked storage. Even though it may not be accessible to the children, if the cabinet is not locked, it is cited as a violation. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1811:Lockdown drills: A shelter-in-place or a lockdown drill is required every three (3) months. If a shelter-in-place or a lockdown drill is conducted in February, the next drill shall be conducted in May. 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). 1834: Medical Action plan When a child requires an emergency medication, such as asthma, seizure, diabetes or life-threatening allergy, an action plan is required along with medication and medication authorization form. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed Rated License Assessment, current cohort plans and the new QIRS system. As of today, the facility can still apply for the prep-year assessment with ECERS-R and SACERS-U. You can voluntarily renew the Rated License but Hold Harmless is now extended until the new QRIS system is implemented. With the new QIRS system, ECERS-3, ITERS-3 and SACERS-U will be used for the Environment Rating Scales. An application for the Prep-year assessment was shared with you via email during the visit. We discussed new classroom space. Please complete the building inspection, the fire inspection and the sanitation inspection for the spaces. The rooms were measured, though this does not mean that they are licensed. All processes shall be completed before the rooms are licensed. The rooms were measured to share the estimated number of children allowed in the spaces. There are fifteen (15) toilets available in the facility. One (1) toilet counts for fifteen (15) children and adults. If you are considering to increase your capacity, please consider the number of toilet counts for the children and the staff members. We discussed health and safety training and on-going training. On the staff and training worksheet, some of the required training hours were incorrect. Mr. Smith corrected the hours on the Staff and Training Worksheet during the visit. Please note that each staff member’s on-going training period differs based on their employment dates. Health and Safety training shall be renewed every five (5) years, and the training shall also be completed within one (1) year based on the employment date for each staff member. Reminder: Many staff members’ First Aid/CPR certificates will be expiring on 8/8/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/12/2024 Number Present: 41 Completed Date: 7/12/2024 Age: From 2 To 10 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 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 Kaoru Eddins Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mt. Carmel Baptist Church, is current/active as of 7/9/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 6/7/24. The last lockdown drill was practiced on 6/24/24. Prior to the drill, it was conducted on 2/15/24. The last playground inspection was documented on 6/13/24. The last fire inspection was conducted on 6/25/24 but not yet approved. Re-inspection is required. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space 1A, a group of seven (7) children, two-to-three-years of age, engaged in free play with housekeeping materials, dinosaurs and toy vehicles. One (1) child who brings his/her asthma medication was not present. No other medications are maintained in the classroom. Supervision and interaction was adequate. In space 1B, two (2) children, two-to-three-years of age, attended today. Due to low attendance, the children joined the children in space 1A today. In space #2, a group of thirteen (13) children, four-to-five years of age had breakfast and transitioned from the gym to the classroom. The children had super donuts, fresh orange, fruit juice and milk for breakfast. The children and two (2) teachers took an elevator back to the classroom. In the classroom, the children sat at the tables and engaged in dinosaur glueing activities and sensory activities. Interaction and supervision were adequate. The classroom space #3 was closed today due to low attendance. Three (3) school-age children joined the group in space #5. In space #4, a group of six (6) children, three-to-four years of age engaged in group time. The children and the teachers discussed love, friendship and loyalty and colored pictures reflecting the discussion. One (1) emergency medication is maintained in the backpack. The permission form was valid, but there was no action plan in the file. In space #5, a group of fifteen (15) children engaged in discussion and math activities. They are school-age children. The supervision and interaction were adequate. Eight children’s files and fifteen (15) staff members’ files were monitored. All children’s files were in compliance with the child care rules. Three (3) new staff members’ files and one (1) staff member’s file were monitored in full. Eleven (11) staff member’s files were partially monitored for health and safety training and on-going training hours due to lack of information on the Staff and Training Worksheet. Even though it is not noted on the Staff and Training worksheet, all existing staff members have completed health and safety training and required training hours. One (1) staff member does not have medical statement due to not working more than ten (10) days as a substitute staff. Playgrounds were inspected. On the preschool playground, there were swings, a slide structure, a climber, balls, toys vehicles and bubbles were available. The mulch/sand was measured for six (6) inches by the slide, eight (8) inches by the climber and seven (7) inches by the swings. On the school-age playground, a slide structure, Gava-pit, climber and swings were available. Sand/mulch was measured for nine (9) inches by the slide and climber, and seven (7) inches by the swings. No hazardous products were observed. I reviewed two (2) unlicensed spaces. The rooms are 122 and 126. There is one (1) toilet shared by the two (2) rooms. There is one (1) sink in each room. They are both suited for classroom space. The building, fire and sanitation inspections need to be completed prior to licensing inspection. If those classrooms are licensed, the capacity of the facility must also be increased. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport school-age children for summer camp field trips. I monitored one (1) out of two (2) vehicles today. One (1) van is used by the church youth group trip. Registration and inspection for one (1) vehicle is valid. The inside is clean and there was first aid kit and fire extinguisher. The tires are in excellent condition. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, a can of Downy Air Calm aerosol can was stored in the cabinet by the door. The aerosol can was out of reach of children but the cabinet was locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 2/15/24 then 6/24/24. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no Action plan for the child with an epi-pen for peanut allergy in space #4. .0801(b) Technical assistance was provided as follows: 840: Potentially hazardous products Potentially hazardous chemicals including aerosol cans must be stored in a locked storage. Even though it may not be accessible to the children, if the cabinet is not locked, it is cited as a violation. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1811:Lockdown drills: A shelter-in-place or a lockdown drill is required every three (3) months. If a shelter-in-place or a lockdown drill is conducted in February, the next drill shall be conducted in May. 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). 1834: Medical Action plan When a child requires an emergency medication, such as asthma, seizure, diabetes or life-threatening allergy, an action plan is required along with medication and medication authorization form. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed Rated License Assessment, current cohort plans and the new QIRS system. As of today, the facility can still apply for the prep-year assessment with ECERS-R and SACERS-U. You can voluntarily renew the Rated License but Hold Harmless is now extended until the new QRIS system is implemented. With the new QIRS system, ECERS-3, ITERS-3 and SACERS-U will be used for the Environment Rating Scales. An application for the Prep-year assessment was shared with you via email during the visit. We discussed new classroom space. Please complete the building inspection, the fire inspection and the sanitation inspection for the spaces. The rooms were measured, though this does not mean that they are licensed. All processes shall be completed before the rooms are licensed. The rooms were measured to share the estimated number of children allowed in the spaces. There are fifteen (15) toilets available in the facility. One (1) toilet counts for fifteen (15) children and adults. If you are considering to increase your capacity, please consider the number of toilet counts for the children and the staff members. We discussed health and safety training and on-going training. On the staff and training worksheet, some of the required training hours were incorrect. Mr. Smith corrected the hours on the Staff and Training Worksheet during the visit. Please note that each staff member’s on-going training period differs based on their employment dates. Health and Safety training shall be renewed every five (5) years, and the training shall also be completed within one (1) year based on the employment date for each staff member. Reminder: Many staff members’ First Aid/CPR certificates will be expiring on 8/8/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 7/12/2024 Number Present: 41 Completed Date: 7/12/2024 Age: From 2 To 10 Total Minutes: 330 Time In: 09:10 AM Time Out: 02:40 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 Kaoru Eddins Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Mr. Smith was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Mt. Carmel Baptist Church, is current/active as of 7/9/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, children under 2 ½ years old in rooms with direct exit only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 6/7/24. The last lockdown drill was practiced on 6/24/24. Prior to the drill, it was conducted on 2/15/24. The last playground inspection was documented on 6/13/24. The last fire inspection was conducted on 6/25/24 but not yet approved. Re-inspection is required. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space 1A, a group of seven (7) children, two-to-three-years of age, engaged in free play with housekeeping materials, dinosaurs and toy vehicles. One (1) child who brings his/her asthma medication was not present. No other medications are maintained in the classroom. Supervision and interaction was adequate. In space 1B, two (2) children, two-to-three-years of age, attended today. Due to low attendance, the children joined the children in space 1A today. In space #2, a group of thirteen (13) children, four-to-five years of age had breakfast and transitioned from the gym to the classroom. The children had super donuts, fresh orange, fruit juice and milk for breakfast. The children and two (2) teachers took an elevator back to the classroom. In the classroom, the children sat at the tables and engaged in dinosaur glueing activities and sensory activities. Interaction and supervision were adequate. The classroom space #3 was closed today due to low attendance. Three (3) school-age children joined the group in space #5. In space #4, a group of six (6) children, three-to-four years of age engaged in group time. The children and the teachers discussed love, friendship and loyalty and colored pictures reflecting the discussion. One (1) emergency medication is maintained in the backpack. The permission form was valid, but there was no action plan in the file. In space #5, a group of fifteen (15) children engaged in discussion and math activities. They are school-age children. The supervision and interaction were adequate. Eight children’s files and fifteen (15) staff members’ files were monitored. All children’s files were in compliance with the child care rules. Three (3) new staff members’ files and one (1) staff member’s file were monitored in full. Eleven (11) staff member’s files were partially monitored for health and safety training and on-going training hours due to lack of information on the Staff and Training Worksheet. Even though it is not noted on the Staff and Training worksheet, all existing staff members have completed health and safety training and required training hours. One (1) staff member does not have medical statement due to not working more than ten (10) days as a substitute staff. Playgrounds were inspected. On the preschool playground, there were swings, a slide structure, a climber, balls, toys vehicles and bubbles were available. The mulch/sand was measured for six (6) inches by the slide, eight (8) inches by the climber and seven (7) inches by the swings. On the school-age playground, a slide structure, Gava-pit, climber and swings were available. Sand/mulch was measured for nine (9) inches by the slide and climber, and seven (7) inches by the swings. No hazardous products were observed. I reviewed two (2) unlicensed spaces. The rooms are 122 and 126. There is one (1) toilet shared by the two (2) rooms. There is one (1) sink in each room. They are both suited for classroom space. The building, fire and sanitation inspections need to be completed prior to licensing inspection. If those classrooms are licensed, the capacity of the facility must also be increased. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you transport school-age children for summer camp field trips. I monitored one (1) out of two (2) vehicles today. One (1) van is used by the church youth group trip. Registration and inspection for one (1) vehicle is valid. The inside is clean and there was first aid kit and fire extinguisher. The tires are in excellent condition. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, a can of Downy Air Calm aerosol can was stored in the cabinet by the door. The aerosol can was out of reach of children but the cabinet was locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was conducted on 2/15/24 then 6/24/24. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. There were no Action plan for the child with an epi-pen for peanut allergy in space #4. .0801(b) Technical assistance was provided as follows: 840: Potentially hazardous products Potentially hazardous chemicals including aerosol cans must be stored in a locked storage. Even though it may not be accessible to the children, if the cabinet is not locked, it is cited as a violation. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 1811:Lockdown drills: A shelter-in-place or a lockdown drill is required every three (3) months. If a shelter-in-place or a lockdown drill is conducted in February, the next drill shall be conducted in May. 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). 1834: Medical Action plan When a child requires an emergency medication, such as asthma, seizure, diabetes or life-threatening allergy, an action plan is required along with medication and medication authorization form. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/26/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed Rated License Assessment, current cohort plans and the new QIRS system. As of today, the facility can still apply for the prep-year assessment with ECERS-R and SACERS-U. You can voluntarily renew the Rated License but Hold Harmless is now extended until the new QRIS system is implemented. With the new QIRS system, ECERS-3, ITERS-3 and SACERS-U will be used for the Environment Rating Scales. An application for the Prep-year assessment was shared with you via email during the visit. We discussed new classroom space. Please complete the building inspection, the fire inspection and the sanitation inspection for the spaces. The rooms were measured, though this does not mean that they are licensed. All processes shall be completed before the rooms are licensed. The rooms were measured to share the estimated number of children allowed in the spaces. There are fifteen (15) toilets available in the facility. One (1) toilet counts for fifteen (15) children and adults. If you are considering to increase your capacity, please consider the number of toilet counts for the children and the staff members. We discussed health and safety training and on-going training. On the staff and training worksheet, some of the required training hours were incorrect. Mr. Smith corrected the hours on the Staff and Training Worksheet during the visit. Please note that each staff member’s on-going training period differs based on their employment dates. Health and Safety training shall be renewed every five (5) years, and the training shall also be completed within one (1) year based on the employment date for each staff member. Reminder: Many staff members’ First Aid/CPR certificates will be expiring on 8/8/24. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 29 Completed Date: 1/3/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Justin Smith, Administrator, accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of 1/2/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under two and a half years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 12/14/23. The last lockdown drill was practiced on 12/20/23. Prior to December, a shelter-in-place was practiced on 6/21/23. The last playground inspection was documented on 12/13/23. The last fire inspection was approved on 6/28/23. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 10/2/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. Space#1 was divided into two (2) separate classrooms by a wall partition. The partition was previously in classroom space #1, but it was not used. Two (2) classrooms, space 1A and 1B were remeasured. Space 1A is approved for eleven (11) children for thirty (30) square feet per child. Space 1B is approved for ten (10) children for thirty (30) square feet per child. This change was made due to an increase in enrollment of two-year-old children. For future reference, please contact me when you make any permanent changes. In space 1A, a group of two-to-three-year-old children engaged in free play and an art activity. The children decorated a picture of earth with glue, clipart and crayon. Other children played with housekeeping toys, magnetic tiles and other toys. In space #1B, a group of three-to-four-year-old children engaged in cut and glue activities. The children cut the clipart and glued it on paper. No hazardous materials were observed. An emergency medication and an over-the-counter lotion were stored in a backpack. The backpack was stored out of reach of children. No action plan was in file, and the permission form was expired. The medication was not in its original box. In space#2, a group of four-to-five-year-old children engaged in a group time. The teacher read a book to the children. Spaces#3, 4, 5 are for school-age children. There were no students during the visit. No hazardous materials were observed. Lunch was observed. Today’s menu was milk, yogurt, graham crackers, cheese slices, baby carrots, and sliced oranges. Yogurt and cheese slices are considered meal alternatives per USDA guidelines. The food items matched the items listed on the menu. Nap time was observed. All three (3) rooms have lights, but space #1B was too dark to see the children. The staff member adjusted the light color from red to white and brightened the lights upon request. No new staff members at this site since the last visit. All staff members’ files were monitored for criminal background letters, CPR/First Aid certificates and BSAC training certificates. All letters and certification for all staff members were active. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The buses are used during summer time for field trips; therefore, the buses are not currently used to transport children. The following violations were documented during today’s visit. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. In space 1B,there was one (1) staff member with six (6) children as the rule stated. However, the staff member was unable to visually see all children due to a dark room. I observed and unable to see all six (6) children who were napping. .1801(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A pack of AAA batteries were maintained in a drawer with baby proof device in space 1A. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space 1B was not maintained in its original box. The child's name was written on the inhaler. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medical authorization form for an inhaler was dated on 4/18/23 and has not been renewed. An action plan was not in file. 10A NCAC 09 .0803(4)(6-9) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In space 1A, Velcro and popsicle sticks were in plastic bags and maintained in a drawer attached to the sink. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill logs, a shelter-in-place drill was conducted on 6/21/23, and a lockdown drill was conducted on 12/20/23. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space 1B, there is no action plan in file for a child with asthma. .0801(b) Technical assistance was provided as follows: 317: Supervision While the children are in care, the staff members have to be able to see or hear children at all times. During the meal time, the staff members have to be able to see AND hear children at all times. During the nap time, the room has to be bright enough for staff members to see the children. The staff members should be walking around to supervise children at least every fifteen (15) minutes. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. 840: storage of hazardous materials Batteries including AA and AAA batteries contain battery acid, which is highly corrosive agents. Therefore, the batteries must be maintained in a locked storage. Locked storage is considered storage with lock with a key, magnetic lock or a combination lock. A space with baby proof device is not considered a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 844: medication in its original box All prescription medications shall be in their original box. If the parent cannot obtain a new medication, he/she can ask the pharmacy to print the label of the medication so that the name of the medication, route, dosage, and the child can be verified. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 847: Medication authorization form Medication authorization form for emergency medication, such as inhaler, epi-pen and seizure medication are valid for six (6) months. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 861: Easily torn plastics Easily torn plastics, such as grocery bags, plastic wrappers, Ziplock bags are considered potential choking/suffocation hazard for children under three (3) years of age. The items shall be maintained inaccessible to children. The items shall be stored at least five (5) feet above the ground and/or stored in a storage space with baby-proof lock. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill is required to be completed at least every three (3) months. 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). 1834: Medical Action Plan An action plan is required for all emergency medical conditions, such as asthma, allergy, diabetes and seizure disorders. An action plan can be filled out by the parent or a physician. An action plan is valid for one (1) year. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov 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 1/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Corrective action for item 317 can be included in the letter of compliance. However, the correction for item 317 must be verified by a consultant visit, therefore, a follow-up visit may be conducted. Consultation is provided as follows: Rated License Cohort: Mt. Carmel Child Enrichment Center is in Cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. BSAC training: I have reviewed the WORKS letter of the staff member who recently completed Quorum Teaching Strategies School-Age care: Leaning by Design. Assuming from the return letter, the particular training on Quorum does not replace BSAC training. However, I will forward the question to my supervisor to be sure. I will let you know when I find out. For the fee for BSAC, Southwestern Child Care Commission offers online, self-paced BSAC training for $40. Other CCR&R may offer BSAC training for less than that. Administrator level: Due to more degrees being considered related degrees, you may qualify for the higher level. Please email WORKS and ask your education to be re-evaluated for a higher level (level III administrator). Contact the Workforce Education Unit for assistance: Monday- Friday 8 a.m. to 5 p.m., Phone: 919-814-6350 or Toll Free 1-800-859-0829. Email:dcdee.works@dhhs.nc.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 29 Completed Date: 1/3/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Justin Smith, Administrator, accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of 1/2/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under two and a half years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 12/14/23. The last lockdown drill was practiced on 12/20/23. Prior to December, a shelter-in-place was practiced on 6/21/23. The last playground inspection was documented on 12/13/23. The last fire inspection was approved on 6/28/23. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 10/2/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. Space#1 was divided into two (2) separate classrooms by a wall partition. The partition was previously in classroom space #1, but it was not used. Two (2) classrooms, space 1A and 1B were remeasured. Space 1A is approved for eleven (11) children for thirty (30) square feet per child. Space 1B is approved for ten (10) children for thirty (30) square feet per child. This change was made due to an increase in enrollment of two-year-old children. For future reference, please contact me when you make any permanent changes. In space 1A, a group of two-to-three-year-old children engaged in free play and an art activity. The children decorated a picture of earth with glue, clipart and crayon. Other children played with housekeeping toys, magnetic tiles and other toys. In space #1B, a group of three-to-four-year-old children engaged in cut and glue activities. The children cut the clipart and glued it on paper. No hazardous materials were observed. An emergency medication and an over-the-counter lotion were stored in a backpack. The backpack was stored out of reach of children. No action plan was in file, and the permission form was expired. The medication was not in its original box. In space#2, a group of four-to-five-year-old children engaged in a group time. The teacher read a book to the children. Spaces#3, 4, 5 are for school-age children. There were no students during the visit. No hazardous materials were observed. Lunch was observed. Today’s menu was milk, yogurt, graham crackers, cheese slices, baby carrots, and sliced oranges. Yogurt and cheese slices are considered meal alternatives per USDA guidelines. The food items matched the items listed on the menu. Nap time was observed. All three (3) rooms have lights, but space #1B was too dark to see the children. The staff member adjusted the light color from red to white and brightened the lights upon request. No new staff members at this site since the last visit. All staff members’ files were monitored for criminal background letters, CPR/First Aid certificates and BSAC training certificates. All letters and certification for all staff members were active. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The buses are used during summer time for field trips; therefore, the buses are not currently used to transport children. The following violations were documented during today’s visit. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. In space 1B,there was one (1) staff member with six (6) children as the rule stated. However, the staff member was unable to visually see all children due to a dark room. I observed and unable to see all six (6) children who were napping. .1801(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A pack of AAA batteries were maintained in a drawer with baby proof device in space 1A. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space 1B was not maintained in its original box. The child's name was written on the inhaler. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medical authorization form for an inhaler was dated on 4/18/23 and has not been renewed. An action plan was not in file. 10A NCAC 09 .0803(4)(6-9) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In space 1A, Velcro and popsicle sticks were in plastic bags and maintained in a drawer attached to the sink. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill logs, a shelter-in-place drill was conducted on 6/21/23, and a lockdown drill was conducted on 12/20/23. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space 1B, there is no action plan in file for a child with asthma. .0801(b) Technical assistance was provided as follows: 317: Supervision While the children are in care, the staff members have to be able to see or hear children at all times. During the meal time, the staff members have to be able to see AND hear children at all times. During the nap time, the room has to be bright enough for staff members to see the children. The staff members should be walking around to supervise children at least every fifteen (15) minutes. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. 840: storage of hazardous materials Batteries including AA and AAA batteries contain battery acid, which is highly corrosive agents. Therefore, the batteries must be maintained in a locked storage. Locked storage is considered storage with lock with a key, magnetic lock or a combination lock. A space with baby proof device is not considered a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 844: medication in its original box All prescription medications shall be in their original box. If the parent cannot obtain a new medication, he/she can ask the pharmacy to print the label of the medication so that the name of the medication, route, dosage, and the child can be verified. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 847: Medication authorization form Medication authorization form for emergency medication, such as inhaler, epi-pen and seizure medication are valid for six (6) months. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 861: Easily torn plastics Easily torn plastics, such as grocery bags, plastic wrappers, Ziplock bags are considered potential choking/suffocation hazard for children under three (3) years of age. The items shall be maintained inaccessible to children. The items shall be stored at least five (5) feet above the ground and/or stored in a storage space with baby-proof lock. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill is required to be completed at least every three (3) months. 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). 1834: Medical Action Plan An action plan is required for all emergency medical conditions, such as asthma, allergy, diabetes and seizure disorders. An action plan can be filled out by the parent or a physician. An action plan is valid for one (1) year. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov 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 1/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Corrective action for item 317 can be included in the letter of compliance. However, the correction for item 317 must be verified by a consultant visit, therefore, a follow-up visit may be conducted. Consultation is provided as follows: Rated License Cohort: Mt. Carmel Child Enrichment Center is in Cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. BSAC training: I have reviewed the WORKS letter of the staff member who recently completed Quorum Teaching Strategies School-Age care: Leaning by Design. Assuming from the return letter, the particular training on Quorum does not replace BSAC training. However, I will forward the question to my supervisor to be sure. I will let you know when I find out. For the fee for BSAC, Southwestern Child Care Commission offers online, self-paced BSAC training for $40. Other CCR&R may offer BSAC training for less than that. Administrator level: Due to more degrees being considered related degrees, you may qualify for the higher level. Please email WORKS and ask your education to be re-evaluated for a higher level (level III administrator). Contact the Workforce Education Unit for assistance: Monday- Friday 8 a.m. to 5 p.m., Phone: 919-814-6350 or Toll Free 1-800-859-0829. Email:dcdee.works@dhhs.nc.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 29 Completed Date: 1/3/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Justin Smith, Administrator, accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of 1/2/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under two and a half years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 12/14/23. The last lockdown drill was practiced on 12/20/23. Prior to December, a shelter-in-place was practiced on 6/21/23. The last playground inspection was documented on 12/13/23. The last fire inspection was approved on 6/28/23. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 10/2/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. Space#1 was divided into two (2) separate classrooms by a wall partition. The partition was previously in classroom space #1, but it was not used. Two (2) classrooms, space 1A and 1B were remeasured. Space 1A is approved for eleven (11) children for thirty (30) square feet per child. Space 1B is approved for ten (10) children for thirty (30) square feet per child. This change was made due to an increase in enrollment of two-year-old children. For future reference, please contact me when you make any permanent changes. In space 1A, a group of two-to-three-year-old children engaged in free play and an art activity. The children decorated a picture of earth with glue, clipart and crayon. Other children played with housekeeping toys, magnetic tiles and other toys. In space #1B, a group of three-to-four-year-old children engaged in cut and glue activities. The children cut the clipart and glued it on paper. No hazardous materials were observed. An emergency medication and an over-the-counter lotion were stored in a backpack. The backpack was stored out of reach of children. No action plan was in file, and the permission form was expired. The medication was not in its original box. In space#2, a group of four-to-five-year-old children engaged in a group time. The teacher read a book to the children. Spaces#3, 4, 5 are for school-age children. There were no students during the visit. No hazardous materials were observed. Lunch was observed. Today’s menu was milk, yogurt, graham crackers, cheese slices, baby carrots, and sliced oranges. Yogurt and cheese slices are considered meal alternatives per USDA guidelines. The food items matched the items listed on the menu. Nap time was observed. All three (3) rooms have lights, but space #1B was too dark to see the children. The staff member adjusted the light color from red to white and brightened the lights upon request. No new staff members at this site since the last visit. All staff members’ files were monitored for criminal background letters, CPR/First Aid certificates and BSAC training certificates. All letters and certification for all staff members were active. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The buses are used during summer time for field trips; therefore, the buses are not currently used to transport children. The following violations were documented during today’s visit. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. In space 1B,there was one (1) staff member with six (6) children as the rule stated. However, the staff member was unable to visually see all children due to a dark room. I observed and unable to see all six (6) children who were napping. .1801(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A pack of AAA batteries were maintained in a drawer with baby proof device in space 1A. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space 1B was not maintained in its original box. The child's name was written on the inhaler. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medical authorization form for an inhaler was dated on 4/18/23 and has not been renewed. An action plan was not in file. 10A NCAC 09 .0803(4)(6-9) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In space 1A, Velcro and popsicle sticks were in plastic bags and maintained in a drawer attached to the sink. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill logs, a shelter-in-place drill was conducted on 6/21/23, and a lockdown drill was conducted on 12/20/23. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space 1B, there is no action plan in file for a child with asthma. .0801(b) Technical assistance was provided as follows: 317: Supervision While the children are in care, the staff members have to be able to see or hear children at all times. During the meal time, the staff members have to be able to see AND hear children at all times. During the nap time, the room has to be bright enough for staff members to see the children. The staff members should be walking around to supervise children at least every fifteen (15) minutes. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. 840: storage of hazardous materials Batteries including AA and AAA batteries contain battery acid, which is highly corrosive agents. Therefore, the batteries must be maintained in a locked storage. Locked storage is considered storage with lock with a key, magnetic lock or a combination lock. A space with baby proof device is not considered a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 844: medication in its original box All prescription medications shall be in their original box. If the parent cannot obtain a new medication, he/she can ask the pharmacy to print the label of the medication so that the name of the medication, route, dosage, and the child can be verified. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 847: Medication authorization form Medication authorization form for emergency medication, such as inhaler, epi-pen and seizure medication are valid for six (6) months. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 861: Easily torn plastics Easily torn plastics, such as grocery bags, plastic wrappers, Ziplock bags are considered potential choking/suffocation hazard for children under three (3) years of age. The items shall be maintained inaccessible to children. The items shall be stored at least five (5) feet above the ground and/or stored in a storage space with baby-proof lock. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill is required to be completed at least every three (3) months. 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). 1834: Medical Action Plan An action plan is required for all emergency medical conditions, such as asthma, allergy, diabetes and seizure disorders. An action plan can be filled out by the parent or a physician. An action plan is valid for one (1) year. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov 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 1/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Corrective action for item 317 can be included in the letter of compliance. However, the correction for item 317 must be verified by a consultant visit, therefore, a follow-up visit may be conducted. Consultation is provided as follows: Rated License Cohort: Mt. Carmel Child Enrichment Center is in Cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. BSAC training: I have reviewed the WORKS letter of the staff member who recently completed Quorum Teaching Strategies School-Age care: Leaning by Design. Assuming from the return letter, the particular training on Quorum does not replace BSAC training. However, I will forward the question to my supervisor to be sure. I will let you know when I find out. For the fee for BSAC, Southwestern Child Care Commission offers online, self-paced BSAC training for $40. Other CCR&R may offer BSAC training for less than that. Administrator level: Due to more degrees being considered related degrees, you may qualify for the higher level. Please email WORKS and ask your education to be re-evaluated for a higher level (level III administrator). Contact the Workforce Education Unit for assistance: Monday- Friday 8 a.m. to 5 p.m., Phone: 919-814-6350 or Toll Free 1-800-859-0829. Email:dcdee.works@dhhs.nc.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 29 Completed Date: 1/3/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Justin Smith, Administrator, accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of 1/2/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under two and a half years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 12/14/23. The last lockdown drill was practiced on 12/20/23. Prior to December, a shelter-in-place was practiced on 6/21/23. The last playground inspection was documented on 12/13/23. The last fire inspection was approved on 6/28/23. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 10/2/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. Space#1 was divided into two (2) separate classrooms by a wall partition. The partition was previously in classroom space #1, but it was not used. Two (2) classrooms, space 1A and 1B were remeasured. Space 1A is approved for eleven (11) children for thirty (30) square feet per child. Space 1B is approved for ten (10) children for thirty (30) square feet per child. This change was made due to an increase in enrollment of two-year-old children. For future reference, please contact me when you make any permanent changes. In space 1A, a group of two-to-three-year-old children engaged in free play and an art activity. The children decorated a picture of earth with glue, clipart and crayon. Other children played with housekeeping toys, magnetic tiles and other toys. In space #1B, a group of three-to-four-year-old children engaged in cut and glue activities. The children cut the clipart and glued it on paper. No hazardous materials were observed. An emergency medication and an over-the-counter lotion were stored in a backpack. The backpack was stored out of reach of children. No action plan was in file, and the permission form was expired. The medication was not in its original box. In space#2, a group of four-to-five-year-old children engaged in a group time. The teacher read a book to the children. Spaces#3, 4, 5 are for school-age children. There were no students during the visit. No hazardous materials were observed. Lunch was observed. Today’s menu was milk, yogurt, graham crackers, cheese slices, baby carrots, and sliced oranges. Yogurt and cheese slices are considered meal alternatives per USDA guidelines. The food items matched the items listed on the menu. Nap time was observed. All three (3) rooms have lights, but space #1B was too dark to see the children. The staff member adjusted the light color from red to white and brightened the lights upon request. No new staff members at this site since the last visit. All staff members’ files were monitored for criminal background letters, CPR/First Aid certificates and BSAC training certificates. All letters and certification for all staff members were active. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The buses are used during summer time for field trips; therefore, the buses are not currently used to transport children. The following violations were documented during today’s visit. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. In space 1B,there was one (1) staff member with six (6) children as the rule stated. However, the staff member was unable to visually see all children due to a dark room. I observed and unable to see all six (6) children who were napping. .1801(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A pack of AAA batteries were maintained in a drawer with baby proof device in space 1A. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space 1B was not maintained in its original box. The child's name was written on the inhaler. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medical authorization form for an inhaler was dated on 4/18/23 and has not been renewed. An action plan was not in file. 10A NCAC 09 .0803(4)(6-9) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In space 1A, Velcro and popsicle sticks were in plastic bags and maintained in a drawer attached to the sink. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill logs, a shelter-in-place drill was conducted on 6/21/23, and a lockdown drill was conducted on 12/20/23. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space 1B, there is no action plan in file for a child with asthma. .0801(b) Technical assistance was provided as follows: 317: Supervision While the children are in care, the staff members have to be able to see or hear children at all times. During the meal time, the staff members have to be able to see AND hear children at all times. During the nap time, the room has to be bright enough for staff members to see the children. The staff members should be walking around to supervise children at least every fifteen (15) minutes. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. 840: storage of hazardous materials Batteries including AA and AAA batteries contain battery acid, which is highly corrosive agents. Therefore, the batteries must be maintained in a locked storage. Locked storage is considered storage with lock with a key, magnetic lock or a combination lock. A space with baby proof device is not considered a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 844: medication in its original box All prescription medications shall be in their original box. If the parent cannot obtain a new medication, he/she can ask the pharmacy to print the label of the medication so that the name of the medication, route, dosage, and the child can be verified. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 847: Medication authorization form Medication authorization form for emergency medication, such as inhaler, epi-pen and seizure medication are valid for six (6) months. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 861: Easily torn plastics Easily torn plastics, such as grocery bags, plastic wrappers, Ziplock bags are considered potential choking/suffocation hazard for children under three (3) years of age. The items shall be maintained inaccessible to children. The items shall be stored at least five (5) feet above the ground and/or stored in a storage space with baby-proof lock. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill is required to be completed at least every three (3) months. 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). 1834: Medical Action Plan An action plan is required for all emergency medical conditions, such as asthma, allergy, diabetes and seizure disorders. An action plan can be filled out by the parent or a physician. An action plan is valid for one (1) year. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov 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 1/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Corrective action for item 317 can be included in the letter of compliance. However, the correction for item 317 must be verified by a consultant visit, therefore, a follow-up visit may be conducted. Consultation is provided as follows: Rated License Cohort: Mt. Carmel Child Enrichment Center is in Cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. BSAC training: I have reviewed the WORKS letter of the staff member who recently completed Quorum Teaching Strategies School-Age care: Leaning by Design. Assuming from the return letter, the particular training on Quorum does not replace BSAC training. However, I will forward the question to my supervisor to be sure. I will let you know when I find out. For the fee for BSAC, Southwestern Child Care Commission offers online, self-paced BSAC training for $40. Other CCR&R may offer BSAC training for less than that. Administrator level: Due to more degrees being considered related degrees, you may qualify for the higher level. Please email WORKS and ask your education to be re-evaluated for a higher level (level III administrator). Contact the Workforce Education Unit for assistance: Monday- Friday 8 a.m. to 5 p.m., Phone: 919-814-6350 or Toll Free 1-800-859-0829. Email:dcdee.works@dhhs.nc.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 29 Completed Date: 1/3/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Justin Smith, Administrator, accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of 1/2/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under two and a half years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 12/14/23. The last lockdown drill was practiced on 12/20/23. Prior to December, a shelter-in-place was practiced on 6/21/23. The last playground inspection was documented on 12/13/23. The last fire inspection was approved on 6/28/23. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 10/2/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. Space#1 was divided into two (2) separate classrooms by a wall partition. The partition was previously in classroom space #1, but it was not used. Two (2) classrooms, space 1A and 1B were remeasured. Space 1A is approved for eleven (11) children for thirty (30) square feet per child. Space 1B is approved for ten (10) children for thirty (30) square feet per child. This change was made due to an increase in enrollment of two-year-old children. For future reference, please contact me when you make any permanent changes. In space 1A, a group of two-to-three-year-old children engaged in free play and an art activity. The children decorated a picture of earth with glue, clipart and crayon. Other children played with housekeeping toys, magnetic tiles and other toys. In space #1B, a group of three-to-four-year-old children engaged in cut and glue activities. The children cut the clipart and glued it on paper. No hazardous materials were observed. An emergency medication and an over-the-counter lotion were stored in a backpack. The backpack was stored out of reach of children. No action plan was in file, and the permission form was expired. The medication was not in its original box. In space#2, a group of four-to-five-year-old children engaged in a group time. The teacher read a book to the children. Spaces#3, 4, 5 are for school-age children. There were no students during the visit. No hazardous materials were observed. Lunch was observed. Today’s menu was milk, yogurt, graham crackers, cheese slices, baby carrots, and sliced oranges. Yogurt and cheese slices are considered meal alternatives per USDA guidelines. The food items matched the items listed on the menu. Nap time was observed. All three (3) rooms have lights, but space #1B was too dark to see the children. The staff member adjusted the light color from red to white and brightened the lights upon request. No new staff members at this site since the last visit. All staff members’ files were monitored for criminal background letters, CPR/First Aid certificates and BSAC training certificates. All letters and certification for all staff members were active. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The buses are used during summer time for field trips; therefore, the buses are not currently used to transport children. The following violations were documented during today’s visit. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. In space 1B,there was one (1) staff member with six (6) children as the rule stated. However, the staff member was unable to visually see all children due to a dark room. I observed and unable to see all six (6) children who were napping. .1801(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A pack of AAA batteries were maintained in a drawer with baby proof device in space 1A. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space 1B was not maintained in its original box. The child's name was written on the inhaler. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medical authorization form for an inhaler was dated on 4/18/23 and has not been renewed. An action plan was not in file. 10A NCAC 09 .0803(4)(6-9) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In space 1A, Velcro and popsicle sticks were in plastic bags and maintained in a drawer attached to the sink. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill logs, a shelter-in-place drill was conducted on 6/21/23, and a lockdown drill was conducted on 12/20/23. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space 1B, there is no action plan in file for a child with asthma. .0801(b) Technical assistance was provided as follows: 317: Supervision While the children are in care, the staff members have to be able to see or hear children at all times. During the meal time, the staff members have to be able to see AND hear children at all times. During the nap time, the room has to be bright enough for staff members to see the children. The staff members should be walking around to supervise children at least every fifteen (15) minutes. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. 840: storage of hazardous materials Batteries including AA and AAA batteries contain battery acid, which is highly corrosive agents. Therefore, the batteries must be maintained in a locked storage. Locked storage is considered storage with lock with a key, magnetic lock or a combination lock. A space with baby proof device is not considered a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 844: medication in its original box All prescription medications shall be in their original box. If the parent cannot obtain a new medication, he/she can ask the pharmacy to print the label of the medication so that the name of the medication, route, dosage, and the child can be verified. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 847: Medication authorization form Medication authorization form for emergency medication, such as inhaler, epi-pen and seizure medication are valid for six (6) months. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 861: Easily torn plastics Easily torn plastics, such as grocery bags, plastic wrappers, Ziplock bags are considered potential choking/suffocation hazard for children under three (3) years of age. The items shall be maintained inaccessible to children. The items shall be stored at least five (5) feet above the ground and/or stored in a storage space with baby-proof lock. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill is required to be completed at least every three (3) months. 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). 1834: Medical Action Plan An action plan is required for all emergency medical conditions, such as asthma, allergy, diabetes and seizure disorders. An action plan can be filled out by the parent or a physician. An action plan is valid for one (1) year. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov 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 1/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Corrective action for item 317 can be included in the letter of compliance. However, the correction for item 317 must be verified by a consultant visit, therefore, a follow-up visit may be conducted. Consultation is provided as follows: Rated License Cohort: Mt. Carmel Child Enrichment Center is in Cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. BSAC training: I have reviewed the WORKS letter of the staff member who recently completed Quorum Teaching Strategies School-Age care: Leaning by Design. Assuming from the return letter, the particular training on Quorum does not replace BSAC training. However, I will forward the question to my supervisor to be sure. I will let you know when I find out. For the fee for BSAC, Southwestern Child Care Commission offers online, self-paced BSAC training for $40. Other CCR&R may offer BSAC training for less than that. Administrator level: Due to more degrees being considered related degrees, you may qualify for the higher level. Please email WORKS and ask your education to be re-evaluated for a higher level (level III administrator). Contact the Workforce Education Unit for assistance: Monday- Friday 8 a.m. to 5 p.m., Phone: 919-814-6350 or Toll Free 1-800-859-0829. Email:dcdee.works@dhhs.nc.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 29 Completed Date: 1/3/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Justin Smith, Administrator, accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of 1/2/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under two and a half years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 12/14/23. The last lockdown drill was practiced on 12/20/23. Prior to December, a shelter-in-place was practiced on 6/21/23. The last playground inspection was documented on 12/13/23. The last fire inspection was approved on 6/28/23. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 10/2/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. Space#1 was divided into two (2) separate classrooms by a wall partition. The partition was previously in classroom space #1, but it was not used. Two (2) classrooms, space 1A and 1B were remeasured. Space 1A is approved for eleven (11) children for thirty (30) square feet per child. Space 1B is approved for ten (10) children for thirty (30) square feet per child. This change was made due to an increase in enrollment of two-year-old children. For future reference, please contact me when you make any permanent changes. In space 1A, a group of two-to-three-year-old children engaged in free play and an art activity. The children decorated a picture of earth with glue, clipart and crayon. Other children played with housekeeping toys, magnetic tiles and other toys. In space #1B, a group of three-to-four-year-old children engaged in cut and glue activities. The children cut the clipart and glued it on paper. No hazardous materials were observed. An emergency medication and an over-the-counter lotion were stored in a backpack. The backpack was stored out of reach of children. No action plan was in file, and the permission form was expired. The medication was not in its original box. In space#2, a group of four-to-five-year-old children engaged in a group time. The teacher read a book to the children. Spaces#3, 4, 5 are for school-age children. There were no students during the visit. No hazardous materials were observed. Lunch was observed. Today’s menu was milk, yogurt, graham crackers, cheese slices, baby carrots, and sliced oranges. Yogurt and cheese slices are considered meal alternatives per USDA guidelines. The food items matched the items listed on the menu. Nap time was observed. All three (3) rooms have lights, but space #1B was too dark to see the children. The staff member adjusted the light color from red to white and brightened the lights upon request. No new staff members at this site since the last visit. All staff members’ files were monitored for criminal background letters, CPR/First Aid certificates and BSAC training certificates. All letters and certification for all staff members were active. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The buses are used during summer time for field trips; therefore, the buses are not currently used to transport children. The following violations were documented during today’s visit. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. In space 1B,there was one (1) staff member with six (6) children as the rule stated. However, the staff member was unable to visually see all children due to a dark room. I observed and unable to see all six (6) children who were napping. .1801(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A pack of AAA batteries were maintained in a drawer with baby proof device in space 1A. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space 1B was not maintained in its original box. The child's name was written on the inhaler. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medical authorization form for an inhaler was dated on 4/18/23 and has not been renewed. An action plan was not in file. 10A NCAC 09 .0803(4)(6-9) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In space 1A, Velcro and popsicle sticks were in plastic bags and maintained in a drawer attached to the sink. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill logs, a shelter-in-place drill was conducted on 6/21/23, and a lockdown drill was conducted on 12/20/23. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space 1B, there is no action plan in file for a child with asthma. .0801(b) Technical assistance was provided as follows: 317: Supervision While the children are in care, the staff members have to be able to see or hear children at all times. During the meal time, the staff members have to be able to see AND hear children at all times. During the nap time, the room has to be bright enough for staff members to see the children. The staff members should be walking around to supervise children at least every fifteen (15) minutes. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. 840: storage of hazardous materials Batteries including AA and AAA batteries contain battery acid, which is highly corrosive agents. Therefore, the batteries must be maintained in a locked storage. Locked storage is considered storage with lock with a key, magnetic lock or a combination lock. A space with baby proof device is not considered a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 844: medication in its original box All prescription medications shall be in their original box. If the parent cannot obtain a new medication, he/she can ask the pharmacy to print the label of the medication so that the name of the medication, route, dosage, and the child can be verified. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 847: Medication authorization form Medication authorization form for emergency medication, such as inhaler, epi-pen and seizure medication are valid for six (6) months. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 861: Easily torn plastics Easily torn plastics, such as grocery bags, plastic wrappers, Ziplock bags are considered potential choking/suffocation hazard for children under three (3) years of age. The items shall be maintained inaccessible to children. The items shall be stored at least five (5) feet above the ground and/or stored in a storage space with baby-proof lock. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill is required to be completed at least every three (3) months. 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). 1834: Medical Action Plan An action plan is required for all emergency medical conditions, such as asthma, allergy, diabetes and seizure disorders. An action plan can be filled out by the parent or a physician. An action plan is valid for one (1) year. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov 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 1/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Corrective action for item 317 can be included in the letter of compliance. However, the correction for item 317 must be verified by a consultant visit, therefore, a follow-up visit may be conducted. Consultation is provided as follows: Rated License Cohort: Mt. Carmel Child Enrichment Center is in Cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. BSAC training: I have reviewed the WORKS letter of the staff member who recently completed Quorum Teaching Strategies School-Age care: Leaning by Design. Assuming from the return letter, the particular training on Quorum does not replace BSAC training. However, I will forward the question to my supervisor to be sure. I will let you know when I find out. For the fee for BSAC, Southwestern Child Care Commission offers online, self-paced BSAC training for $40. Other CCR&R may offer BSAC training for less than that. Administrator level: Due to more degrees being considered related degrees, you may qualify for the higher level. Please email WORKS and ask your education to be re-evaluated for a higher level (level III administrator). Contact the Workforce Education Unit for assistance: Monday- Friday 8 a.m. to 5 p.m., Phone: 919-814-6350 or Toll Free 1-800-859-0829. Email:dcdee.works@dhhs.nc.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 29 Completed Date: 1/3/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Justin Smith, Administrator, accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of 1/2/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under two and a half years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 12/14/23. The last lockdown drill was practiced on 12/20/23. Prior to December, a shelter-in-place was practiced on 6/21/23. The last playground inspection was documented on 12/13/23. The last fire inspection was approved on 6/28/23. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 10/2/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. Space#1 was divided into two (2) separate classrooms by a wall partition. The partition was previously in classroom space #1, but it was not used. Two (2) classrooms, space 1A and 1B were remeasured. Space 1A is approved for eleven (11) children for thirty (30) square feet per child. Space 1B is approved for ten (10) children for thirty (30) square feet per child. This change was made due to an increase in enrollment of two-year-old children. For future reference, please contact me when you make any permanent changes. In space 1A, a group of two-to-three-year-old children engaged in free play and an art activity. The children decorated a picture of earth with glue, clipart and crayon. Other children played with housekeeping toys, magnetic tiles and other toys. In space #1B, a group of three-to-four-year-old children engaged in cut and glue activities. The children cut the clipart and glued it on paper. No hazardous materials were observed. An emergency medication and an over-the-counter lotion were stored in a backpack. The backpack was stored out of reach of children. No action plan was in file, and the permission form was expired. The medication was not in its original box. In space#2, a group of four-to-five-year-old children engaged in a group time. The teacher read a book to the children. Spaces#3, 4, 5 are for school-age children. There were no students during the visit. No hazardous materials were observed. Lunch was observed. Today’s menu was milk, yogurt, graham crackers, cheese slices, baby carrots, and sliced oranges. Yogurt and cheese slices are considered meal alternatives per USDA guidelines. The food items matched the items listed on the menu. Nap time was observed. All three (3) rooms have lights, but space #1B was too dark to see the children. The staff member adjusted the light color from red to white and brightened the lights upon request. No new staff members at this site since the last visit. All staff members’ files were monitored for criminal background letters, CPR/First Aid certificates and BSAC training certificates. All letters and certification for all staff members were active. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The buses are used during summer time for field trips; therefore, the buses are not currently used to transport children. The following violations were documented during today’s visit. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. In space 1B,there was one (1) staff member with six (6) children as the rule stated. However, the staff member was unable to visually see all children due to a dark room. I observed and unable to see all six (6) children who were napping. .1801(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A pack of AAA batteries were maintained in a drawer with baby proof device in space 1A. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space 1B was not maintained in its original box. The child's name was written on the inhaler. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medical authorization form for an inhaler was dated on 4/18/23 and has not been renewed. An action plan was not in file. 10A NCAC 09 .0803(4)(6-9) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In space 1A, Velcro and popsicle sticks were in plastic bags and maintained in a drawer attached to the sink. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill logs, a shelter-in-place drill was conducted on 6/21/23, and a lockdown drill was conducted on 12/20/23. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space 1B, there is no action plan in file for a child with asthma. .0801(b) Technical assistance was provided as follows: 317: Supervision While the children are in care, the staff members have to be able to see or hear children at all times. During the meal time, the staff members have to be able to see AND hear children at all times. During the nap time, the room has to be bright enough for staff members to see the children. The staff members should be walking around to supervise children at least every fifteen (15) minutes. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. 840: storage of hazardous materials Batteries including AA and AAA batteries contain battery acid, which is highly corrosive agents. Therefore, the batteries must be maintained in a locked storage. Locked storage is considered storage with lock with a key, magnetic lock or a combination lock. A space with baby proof device is not considered a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 844: medication in its original box All prescription medications shall be in their original box. If the parent cannot obtain a new medication, he/she can ask the pharmacy to print the label of the medication so that the name of the medication, route, dosage, and the child can be verified. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 847: Medication authorization form Medication authorization form for emergency medication, such as inhaler, epi-pen and seizure medication are valid for six (6) months. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 861: Easily torn plastics Easily torn plastics, such as grocery bags, plastic wrappers, Ziplock bags are considered potential choking/suffocation hazard for children under three (3) years of age. The items shall be maintained inaccessible to children. The items shall be stored at least five (5) feet above the ground and/or stored in a storage space with baby-proof lock. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill is required to be completed at least every three (3) months. 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). 1834: Medical Action Plan An action plan is required for all emergency medical conditions, such as asthma, allergy, diabetes and seizure disorders. An action plan can be filled out by the parent or a physician. An action plan is valid for one (1) year. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov 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 1/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Corrective action for item 317 can be included in the letter of compliance. However, the correction for item 317 must be verified by a consultant visit, therefore, a follow-up visit may be conducted. Consultation is provided as follows: Rated License Cohort: Mt. Carmel Child Enrichment Center is in Cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. BSAC training: I have reviewed the WORKS letter of the staff member who recently completed Quorum Teaching Strategies School-Age care: Leaning by Design. Assuming from the return letter, the particular training on Quorum does not replace BSAC training. However, I will forward the question to my supervisor to be sure. I will let you know when I find out. For the fee for BSAC, Southwestern Child Care Commission offers online, self-paced BSAC training for $40. Other CCR&R may offer BSAC training for less than that. Administrator level: Due to more degrees being considered related degrees, you may qualify for the higher level. Please email WORKS and ask your education to be re-evaluated for a higher level (level III administrator). Contact the Workforce Education Unit for assistance: Monday- Friday 8 a.m. to 5 p.m., Phone: 919-814-6350 or Toll Free 1-800-859-0829. Email:dcdee.works@dhhs.nc.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 29 Completed Date: 1/3/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Justin Smith, Administrator, accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of 1/2/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under two and a half years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 12/14/23. The last lockdown drill was practiced on 12/20/23. Prior to December, a shelter-in-place was practiced on 6/21/23. The last playground inspection was documented on 12/13/23. The last fire inspection was approved on 6/28/23. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 10/2/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. Space#1 was divided into two (2) separate classrooms by a wall partition. The partition was previously in classroom space #1, but it was not used. Two (2) classrooms, space 1A and 1B were remeasured. Space 1A is approved for eleven (11) children for thirty (30) square feet per child. Space 1B is approved for ten (10) children for thirty (30) square feet per child. This change was made due to an increase in enrollment of two-year-old children. For future reference, please contact me when you make any permanent changes. In space 1A, a group of two-to-three-year-old children engaged in free play and an art activity. The children decorated a picture of earth with glue, clipart and crayon. Other children played with housekeeping toys, magnetic tiles and other toys. In space #1B, a group of three-to-four-year-old children engaged in cut and glue activities. The children cut the clipart and glued it on paper. No hazardous materials were observed. An emergency medication and an over-the-counter lotion were stored in a backpack. The backpack was stored out of reach of children. No action plan was in file, and the permission form was expired. The medication was not in its original box. In space#2, a group of four-to-five-year-old children engaged in a group time. The teacher read a book to the children. Spaces#3, 4, 5 are for school-age children. There were no students during the visit. No hazardous materials were observed. Lunch was observed. Today’s menu was milk, yogurt, graham crackers, cheese slices, baby carrots, and sliced oranges. Yogurt and cheese slices are considered meal alternatives per USDA guidelines. The food items matched the items listed on the menu. Nap time was observed. All three (3) rooms have lights, but space #1B was too dark to see the children. The staff member adjusted the light color from red to white and brightened the lights upon request. No new staff members at this site since the last visit. All staff members’ files were monitored for criminal background letters, CPR/First Aid certificates and BSAC training certificates. All letters and certification for all staff members were active. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The buses are used during summer time for field trips; therefore, the buses are not currently used to transport children. The following violations were documented during today’s visit. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. In space 1B,there was one (1) staff member with six (6) children as the rule stated. However, the staff member was unable to visually see all children due to a dark room. I observed and unable to see all six (6) children who were napping. .1801(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A pack of AAA batteries were maintained in a drawer with baby proof device in space 1A. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space 1B was not maintained in its original box. The child's name was written on the inhaler. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medical authorization form for an inhaler was dated on 4/18/23 and has not been renewed. An action plan was not in file. 10A NCAC 09 .0803(4)(6-9) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In space 1A, Velcro and popsicle sticks were in plastic bags and maintained in a drawer attached to the sink. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill logs, a shelter-in-place drill was conducted on 6/21/23, and a lockdown drill was conducted on 12/20/23. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space 1B, there is no action plan in file for a child with asthma. .0801(b) Technical assistance was provided as follows: 317: Supervision While the children are in care, the staff members have to be able to see or hear children at all times. During the meal time, the staff members have to be able to see AND hear children at all times. During the nap time, the room has to be bright enough for staff members to see the children. The staff members should be walking around to supervise children at least every fifteen (15) minutes. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. 840: storage of hazardous materials Batteries including AA and AAA batteries contain battery acid, which is highly corrosive agents. Therefore, the batteries must be maintained in a locked storage. Locked storage is considered storage with lock with a key, magnetic lock or a combination lock. A space with baby proof device is not considered a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 844: medication in its original box All prescription medications shall be in their original box. If the parent cannot obtain a new medication, he/she can ask the pharmacy to print the label of the medication so that the name of the medication, route, dosage, and the child can be verified. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 847: Medication authorization form Medication authorization form for emergency medication, such as inhaler, epi-pen and seizure medication are valid for six (6) months. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 861: Easily torn plastics Easily torn plastics, such as grocery bags, plastic wrappers, Ziplock bags are considered potential choking/suffocation hazard for children under three (3) years of age. The items shall be maintained inaccessible to children. The items shall be stored at least five (5) feet above the ground and/or stored in a storage space with baby-proof lock. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill is required to be completed at least every three (3) months. 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). 1834: Medical Action Plan An action plan is required for all emergency medical conditions, such as asthma, allergy, diabetes and seizure disorders. An action plan can be filled out by the parent or a physician. An action plan is valid for one (1) year. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov 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 1/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Corrective action for item 317 can be included in the letter of compliance. However, the correction for item 317 must be verified by a consultant visit, therefore, a follow-up visit may be conducted. Consultation is provided as follows: Rated License Cohort: Mt. Carmel Child Enrichment Center is in Cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. BSAC training: I have reviewed the WORKS letter of the staff member who recently completed Quorum Teaching Strategies School-Age care: Leaning by Design. Assuming from the return letter, the particular training on Quorum does not replace BSAC training. However, I will forward the question to my supervisor to be sure. I will let you know when I find out. For the fee for BSAC, Southwestern Child Care Commission offers online, self-paced BSAC training for $40. Other CCR&R may offer BSAC training for less than that. Administrator level: Due to more degrees being considered related degrees, you may qualify for the higher level. Please email WORKS and ask your education to be re-evaluated for a higher level (level III administrator). Contact the Workforce Education Unit for assistance: Monday- Friday 8 a.m. to 5 p.m., Phone: 919-814-6350 or Toll Free 1-800-859-0829. Email:dcdee.works@dhhs.nc.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 29 Completed Date: 1/3/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Justin Smith, Administrator, accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of 1/2/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under two and a half years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 12/14/23. The last lockdown drill was practiced on 12/20/23. Prior to December, a shelter-in-place was practiced on 6/21/23. The last playground inspection was documented on 12/13/23. The last fire inspection was approved on 6/28/23. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 10/2/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. Space#1 was divided into two (2) separate classrooms by a wall partition. The partition was previously in classroom space #1, but it was not used. Two (2) classrooms, space 1A and 1B were remeasured. Space 1A is approved for eleven (11) children for thirty (30) square feet per child. Space 1B is approved for ten (10) children for thirty (30) square feet per child. This change was made due to an increase in enrollment of two-year-old children. For future reference, please contact me when you make any permanent changes. In space 1A, a group of two-to-three-year-old children engaged in free play and an art activity. The children decorated a picture of earth with glue, clipart and crayon. Other children played with housekeeping toys, magnetic tiles and other toys. In space #1B, a group of three-to-four-year-old children engaged in cut and glue activities. The children cut the clipart and glued it on paper. No hazardous materials were observed. An emergency medication and an over-the-counter lotion were stored in a backpack. The backpack was stored out of reach of children. No action plan was in file, and the permission form was expired. The medication was not in its original box. In space#2, a group of four-to-five-year-old children engaged in a group time. The teacher read a book to the children. Spaces#3, 4, 5 are for school-age children. There were no students during the visit. No hazardous materials were observed. Lunch was observed. Today’s menu was milk, yogurt, graham crackers, cheese slices, baby carrots, and sliced oranges. Yogurt and cheese slices are considered meal alternatives per USDA guidelines. The food items matched the items listed on the menu. Nap time was observed. All three (3) rooms have lights, but space #1B was too dark to see the children. The staff member adjusted the light color from red to white and brightened the lights upon request. No new staff members at this site since the last visit. All staff members’ files were monitored for criminal background letters, CPR/First Aid certificates and BSAC training certificates. All letters and certification for all staff members were active. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The buses are used during summer time for field trips; therefore, the buses are not currently used to transport children. The following violations were documented during today’s visit. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. In space 1B,there was one (1) staff member with six (6) children as the rule stated. However, the staff member was unable to visually see all children due to a dark room. I observed and unable to see all six (6) children who were napping. .1801(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A pack of AAA batteries were maintained in a drawer with baby proof device in space 1A. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space 1B was not maintained in its original box. The child's name was written on the inhaler. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medical authorization form for an inhaler was dated on 4/18/23 and has not been renewed. An action plan was not in file. 10A NCAC 09 .0803(4)(6-9) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In space 1A, Velcro and popsicle sticks were in plastic bags and maintained in a drawer attached to the sink. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill logs, a shelter-in-place drill was conducted on 6/21/23, and a lockdown drill was conducted on 12/20/23. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space 1B, there is no action plan in file for a child with asthma. .0801(b) Technical assistance was provided as follows: 317: Supervision While the children are in care, the staff members have to be able to see or hear children at all times. During the meal time, the staff members have to be able to see AND hear children at all times. During the nap time, the room has to be bright enough for staff members to see the children. The staff members should be walking around to supervise children at least every fifteen (15) minutes. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. 840: storage of hazardous materials Batteries including AA and AAA batteries contain battery acid, which is highly corrosive agents. Therefore, the batteries must be maintained in a locked storage. Locked storage is considered storage with lock with a key, magnetic lock or a combination lock. A space with baby proof device is not considered a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 844: medication in its original box All prescription medications shall be in their original box. If the parent cannot obtain a new medication, he/she can ask the pharmacy to print the label of the medication so that the name of the medication, route, dosage, and the child can be verified. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 847: Medication authorization form Medication authorization form for emergency medication, such as inhaler, epi-pen and seizure medication are valid for six (6) months. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 861: Easily torn plastics Easily torn plastics, such as grocery bags, plastic wrappers, Ziplock bags are considered potential choking/suffocation hazard for children under three (3) years of age. The items shall be maintained inaccessible to children. The items shall be stored at least five (5) feet above the ground and/or stored in a storage space with baby-proof lock. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill is required to be completed at least every three (3) months. 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). 1834: Medical Action Plan An action plan is required for all emergency medical conditions, such as asthma, allergy, diabetes and seizure disorders. An action plan can be filled out by the parent or a physician. An action plan is valid for one (1) year. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov 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 1/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Corrective action for item 317 can be included in the letter of compliance. However, the correction for item 317 must be verified by a consultant visit, therefore, a follow-up visit may be conducted. Consultation is provided as follows: Rated License Cohort: Mt. Carmel Child Enrichment Center is in Cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. BSAC training: I have reviewed the WORKS letter of the staff member who recently completed Quorum Teaching Strategies School-Age care: Leaning by Design. Assuming from the return letter, the particular training on Quorum does not replace BSAC training. However, I will forward the question to my supervisor to be sure. I will let you know when I find out. For the fee for BSAC, Southwestern Child Care Commission offers online, self-paced BSAC training for $40. Other CCR&R may offer BSAC training for less than that. Administrator level: Due to more degrees being considered related degrees, you may qualify for the higher level. Please email WORKS and ask your education to be re-evaluated for a higher level (level III administrator). Contact the Workforce Education Unit for assistance: Monday- Friday 8 a.m. to 5 p.m., Phone: 919-814-6350 or Toll Free 1-800-859-0829. Email:dcdee.works@dhhs.nc.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 29 Completed Date: 1/3/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Justin Smith, Administrator, accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of 1/2/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under two and a half years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 12/14/23. The last lockdown drill was practiced on 12/20/23. Prior to December, a shelter-in-place was practiced on 6/21/23. The last playground inspection was documented on 12/13/23. The last fire inspection was approved on 6/28/23. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 10/2/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. Space#1 was divided into two (2) separate classrooms by a wall partition. The partition was previously in classroom space #1, but it was not used. Two (2) classrooms, space 1A and 1B were remeasured. Space 1A is approved for eleven (11) children for thirty (30) square feet per child. Space 1B is approved for ten (10) children for thirty (30) square feet per child. This change was made due to an increase in enrollment of two-year-old children. For future reference, please contact me when you make any permanent changes. In space 1A, a group of two-to-three-year-old children engaged in free play and an art activity. The children decorated a picture of earth with glue, clipart and crayon. Other children played with housekeeping toys, magnetic tiles and other toys. In space #1B, a group of three-to-four-year-old children engaged in cut and glue activities. The children cut the clipart and glued it on paper. No hazardous materials were observed. An emergency medication and an over-the-counter lotion were stored in a backpack. The backpack was stored out of reach of children. No action plan was in file, and the permission form was expired. The medication was not in its original box. In space#2, a group of four-to-five-year-old children engaged in a group time. The teacher read a book to the children. Spaces#3, 4, 5 are for school-age children. There were no students during the visit. No hazardous materials were observed. Lunch was observed. Today’s menu was milk, yogurt, graham crackers, cheese slices, baby carrots, and sliced oranges. Yogurt and cheese slices are considered meal alternatives per USDA guidelines. The food items matched the items listed on the menu. Nap time was observed. All three (3) rooms have lights, but space #1B was too dark to see the children. The staff member adjusted the light color from red to white and brightened the lights upon request. No new staff members at this site since the last visit. All staff members’ files were monitored for criminal background letters, CPR/First Aid certificates and BSAC training certificates. All letters and certification for all staff members were active. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The buses are used during summer time for field trips; therefore, the buses are not currently used to transport children. The following violations were documented during today’s visit. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. In space 1B,there was one (1) staff member with six (6) children as the rule stated. However, the staff member was unable to visually see all children due to a dark room. I observed and unable to see all six (6) children who were napping. .1801(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A pack of AAA batteries were maintained in a drawer with baby proof device in space 1A. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space 1B was not maintained in its original box. The child's name was written on the inhaler. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medical authorization form for an inhaler was dated on 4/18/23 and has not been renewed. An action plan was not in file. 10A NCAC 09 .0803(4)(6-9) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In space 1A, Velcro and popsicle sticks were in plastic bags and maintained in a drawer attached to the sink. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill logs, a shelter-in-place drill was conducted on 6/21/23, and a lockdown drill was conducted on 12/20/23. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space 1B, there is no action plan in file for a child with asthma. .0801(b) Technical assistance was provided as follows: 317: Supervision While the children are in care, the staff members have to be able to see or hear children at all times. During the meal time, the staff members have to be able to see AND hear children at all times. During the nap time, the room has to be bright enough for staff members to see the children. The staff members should be walking around to supervise children at least every fifteen (15) minutes. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. 840: storage of hazardous materials Batteries including AA and AAA batteries contain battery acid, which is highly corrosive agents. Therefore, the batteries must be maintained in a locked storage. Locked storage is considered storage with lock with a key, magnetic lock or a combination lock. A space with baby proof device is not considered a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 844: medication in its original box All prescription medications shall be in their original box. If the parent cannot obtain a new medication, he/she can ask the pharmacy to print the label of the medication so that the name of the medication, route, dosage, and the child can be verified. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 847: Medication authorization form Medication authorization form for emergency medication, such as inhaler, epi-pen and seizure medication are valid for six (6) months. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 861: Easily torn plastics Easily torn plastics, such as grocery bags, plastic wrappers, Ziplock bags are considered potential choking/suffocation hazard for children under three (3) years of age. The items shall be maintained inaccessible to children. The items shall be stored at least five (5) feet above the ground and/or stored in a storage space with baby-proof lock. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill is required to be completed at least every three (3) months. 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). 1834: Medical Action Plan An action plan is required for all emergency medical conditions, such as asthma, allergy, diabetes and seizure disorders. An action plan can be filled out by the parent or a physician. An action plan is valid for one (1) year. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov 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 1/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Corrective action for item 317 can be included in the letter of compliance. However, the correction for item 317 must be verified by a consultant visit, therefore, a follow-up visit may be conducted. Consultation is provided as follows: Rated License Cohort: Mt. Carmel Child Enrichment Center is in Cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. BSAC training: I have reviewed the WORKS letter of the staff member who recently completed Quorum Teaching Strategies School-Age care: Leaning by Design. Assuming from the return letter, the particular training on Quorum does not replace BSAC training. However, I will forward the question to my supervisor to be sure. I will let you know when I find out. For the fee for BSAC, Southwestern Child Care Commission offers online, self-paced BSAC training for $40. Other CCR&R may offer BSAC training for less than that. Administrator level: Due to more degrees being considered related degrees, you may qualify for the higher level. Please email WORKS and ask your education to be re-evaluated for a higher level (level III administrator). Contact the Workforce Education Unit for assistance: Monday- Friday 8 a.m. to 5 p.m., Phone: 919-814-6350 or Toll Free 1-800-859-0829. Email:dcdee.works@dhhs.nc.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: MT. CARMEL CHILD ENRICHMENT CENTER Facility ID: 1155033 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/3/2024 Number Present: 29 Completed Date: 1/3/2024 Age: From 2 To 5 Total Minutes: 265 Time In: 09:15 AM Time Out: 01:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Justin Smith, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Justin Smith, Administrator, accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of 1/2/24. Permit type – five-star center license issued on 11/29/21. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios, children under two and a half years old in rooms with direct exits only. The last annual compliance visit was conducted on 7/21/23. The last fire drill was practiced on 12/14/23. The last lockdown drill was practiced on 12/20/23. Prior to December, a shelter-in-place was practiced on 6/21/23. The last playground inspection was documented on 12/13/23. The last fire inspection was approved on 6/28/23. The last sanitation inspection was conducted on 8/22/23 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The Emergency Preparedness and Response Plan was last updated on 10/2/23. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. Space#1 was divided into two (2) separate classrooms by a wall partition. The partition was previously in classroom space #1, but it was not used. Two (2) classrooms, space 1A and 1B were remeasured. Space 1A is approved for eleven (11) children for thirty (30) square feet per child. Space 1B is approved for ten (10) children for thirty (30) square feet per child. This change was made due to an increase in enrollment of two-year-old children. For future reference, please contact me when you make any permanent changes. In space 1A, a group of two-to-three-year-old children engaged in free play and an art activity. The children decorated a picture of earth with glue, clipart and crayon. Other children played with housekeeping toys, magnetic tiles and other toys. In space #1B, a group of three-to-four-year-old children engaged in cut and glue activities. The children cut the clipart and glued it on paper. No hazardous materials were observed. An emergency medication and an over-the-counter lotion were stored in a backpack. The backpack was stored out of reach of children. No action plan was in file, and the permission form was expired. The medication was not in its original box. In space#2, a group of four-to-five-year-old children engaged in a group time. The teacher read a book to the children. Spaces#3, 4, 5 are for school-age children. There were no students during the visit. No hazardous materials were observed. Lunch was observed. Today’s menu was milk, yogurt, graham crackers, cheese slices, baby carrots, and sliced oranges. Yogurt and cheese slices are considered meal alternatives per USDA guidelines. The food items matched the items listed on the menu. Nap time was observed. All three (3) rooms have lights, but space #1B was too dark to see the children. The staff member adjusted the light color from red to white and brightened the lights upon request. No new staff members at this site since the last visit. All staff members’ files were monitored for criminal background letters, CPR/First Aid certificates and BSAC training certificates. All letters and certification for all staff members were active. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The buses are used during summer time for field trips; therefore, the buses are not currently used to transport children. The following violations were documented during today’s visit. Violation Number Comment Rule 317 The staff/child ratios for children, two years and older, during naptime were not maintained by having at least one person in each room, visually supervising all children and the total number of required staff on the premises within calling distance of each room occupied by children. In space 1B,there was one (1) staff member with six (6) children as the rule stated. However, the staff member was unable to visually see all children due to a dark room. I observed and unable to see all six (6) children who were napping. .1801(b) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A pack of AAA batteries were maintained in a drawer with baby proof device in space 1A. .2820(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler in space 1B was not maintained in its original box. The child's name was written on the inhaler. .0803(2)(a) 847 Parent's medication authorization did not include required information. A medical authorization form for an inhaler was dated on 4/18/23 and has not been renewed. An action plan was not in file. 10A NCAC 09 .0803(4)(6-9) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. In space 1A, Velcro and popsicle sticks were in plastic bags and maintained in a drawer attached to the sink. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per emergency drill logs, a shelter-in-place drill was conducted on 6/21/23, and a lockdown drill was conducted on 12/20/23. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In space 1B, there is no action plan in file for a child with asthma. .0801(b) Technical assistance was provided as follows: 317: Supervision While the children are in care, the staff members have to be able to see or hear children at all times. During the meal time, the staff members have to be able to see AND hear children at all times. During the nap time, the room has to be bright enough for staff members to see the children. The staff members should be walking around to supervise children at least every fifteen (15) minutes. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (b) For groups of children aged two years or older, the staff/child ratio during nap time shall comply with the requirements of this Chapter if at least one person remains in the room, all children are visible to that person, and the total number of required staff are on the premises and within calling distance of the rooms occupied by children. 840: storage of hazardous materials Batteries including AA and AAA batteries contain battery acid, which is highly corrosive agents. Therefore, the batteries must be maintained in a locked storage. Locked storage is considered storage with lock with a key, magnetic lock or a combination lock. A space with baby proof device is not considered a locked storage. 15A NCAC 18A .2820 STORAGE (b) All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. 844: medication in its original box All prescription medications shall be in their original box. If the parent cannot obtain a new medication, he/she can ask the pharmacy to print the label of the medication so that the name of the medication, route, dosage, and the child can be verified. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 847: Medication authorization form Medication authorization form for emergency medication, such as inhaler, epi-pen and seizure medication are valid for six (6) months. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 861: Easily torn plastics Easily torn plastics, such as grocery bags, plastic wrappers, Ziplock bags are considered potential choking/suffocation hazard for children under three (3) years of age. The items shall be maintained inaccessible to children. The items shall be stored at least five (5) feet above the ground and/or stored in a storage space with baby-proof lock. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1811: Shelter-in-place/lockdown drill Shelter-in-place/lockdown drill is required to be completed at least every three (3) months. 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). 1834: Medical Action Plan An action plan is required for all emergency medical conditions, such as asthma, allergy, diabetes and seizure disorders. An action plan can be filled out by the parent or a physician. An action plan is valid for one (1) year. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov 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 1/17/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Corrective action for item 317 can be included in the letter of compliance. However, the correction for item 317 must be verified by a consultant visit, therefore, a follow-up visit may be conducted. Consultation is provided as follows: Rated License Cohort: Mt. Carmel Child Enrichment Center is in Cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. BSAC training: I have reviewed the WORKS letter of the staff member who recently completed Quorum Teaching Strategies School-Age care: Leaning by Design. Assuming from the return letter, the particular training on Quorum does not replace BSAC training. However, I will forward the question to my supervisor to be sure. I will let you know when I find out. For the fee for BSAC, Southwestern Child Care Commission offers online, self-paced BSAC training for $40. Other CCR&R may offer BSAC training for less than that. Administrator level: Due to more degrees being considered related degrees, you may qualify for the higher level. Please email WORKS and ask your education to be re-evaluated for a higher level (level III administrator). Contact the Workforce Education Unit for assistance: Monday- Friday 8 a.m. to 5 p.m., Phone: 919-814-6350 or Toll Free 1-800-859-0829. Email:dcdee.works@dhhs.nc.gov If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times