Oakley Elementary School Head Start

10A NCAC 09 .0302 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 11 Completed Date: 5/12/2026 Age: From 3 To 5 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Donna Toole, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Toole was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 5/8/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/8/26. Permit type – Five (5) star license issued 2/20/20 Special Services/Restrictions – 1st shit (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start and Transportation. The facility serves children with special needs, offer field trips and a gym. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 4/29/26. The last shelter-in-place drill was practiced on 3/4/26. The last playground inspection was documented on 5/1/26. The last fire inspection was approved on 2/10/26. The last sanitation inspection was conducted on 1/22/26 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 7/5/24 without hazards. Lead paint testing was completed on 4/24/25. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete required testing. The program is approved to provide transportation. The facility does not currently provide transportation for children on a regular basis. Vehicles for all Community Action Opportunities sites are maintained off-site. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was or was not reviewed today. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:15 a.m. to 1:45 p.m. Upon arrival I was greeted by Ayla Lueck, Teacher and Gretchen Buckner, Teacher. Ms. Toole arrived at approximately 10:00am. Children explored the outdoor learning environment. Children tumbled down a small hill, participated in a teacher-led parachute activity and rode tricycles. Children then transitioned indoors, washed hands, and participated in a teacher-led social/emotional learning lesson. Children then washed hands and ate lunch. Lunch today consisted of chicken burritos, pineapple, salad and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report from 11/4/25 did not include the name of the child. One (1) incident report from 11/4/25 did not include the date the parent signed the report. .0802 (e) 853 Incident logs were not completed and maintained as required. Two (2) incidents from 11/4/25 were not logged on the incident log. .0802(g)(1-6) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical report for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, a medical report on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has a medical report on file dated 10/2/26. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The medical report and immunizations for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, an immunization record on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has an immunization record on file dated 10/2/26. 10A NCAC 09 .0302(d)(2) 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 9/5/25. The next lockdown drill was conducted on 3/4/26, six (6) months later. .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) substitute provider did not complete all heath and safety training topics every five (5) years. “Administration of medication, with standards for parental consent” was last completed on 4/19/17, “Handling and storage of hazardous materials and the appropriate disposal of biocontaminants” was last completed on 4/21/17, “Precautions in transporting children” was last completed 4/24/17. .1103(b) Technical assistance was provided as follows: Item #852: The missing information was added to the incident reports during the visit today. This is corrected. No further corrective action is needed. Item #853: The incidents were logged on the incident log during the visit today. This is corrected. No further corrective action is needed. Item #1321 and #1323: To reach compliance with these items, include a statement in your letter of compliance that indicates how you will ensure children’s medical reports and immunization records are on file within thirty (30) days of enrollment. We discussed parents have expressed difficulty with scheduling physicals within 30 days of enrollment due to insurance denying appointments. In this case, we discussed parents can submit their child's most recent well visit as the medical exam. Item #1811: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure lockdown or shelter-in-place drills are occurring every three (3) months. For example, you can state that you will set calendar reminders to ensure the drills are conducted every three (3) months. We discussed you can conduct these drills independently of the public school. Item #1899: To reach compliance with this item, the staff member must complete training for the three (3) overdue topics. Alternatively, if they have completed the training and can locate the training certificates, the certificates must be placed in the staff member’s file. In your letter of compliance, include a statement that indicates that the trainings have been completed and that the certificates are on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/26/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Criminal Background Check (CBC) qualification letter: Staff D. Toole must receive a new CBC qualification letter by 10/4/26. As a reminder, staff can begin the process to receive a new CBC qualification letter up to six (6) months prior to the expiration of the current letter. D. Toole can begin the process to receive a new CBC qualification letter immediately. Sign in/out: We discussed connectivity issues sometimes prevent staff from signing children in on the playground. I recommend printing a paper sign in/out sheet to ensure times are documented accurately in the event of a technology failure. Health and Safety training: Staff AL must complete the topic “Administration of medication, with standards for parental consent” by 11/3/26. On-going training: Per Child Care rule .3013(b) All teacher assistants shall complete a minimum of 15 hours of annual in-service professional development. A combination of college coursework, Continuing Education Units (CEUs), or clock hours may be used to complete the requirements of this Rule. For staff GB, you will record fifteen (15) for the number of hours required for on-going training on the Staff and Training Worksheet, moving forward. Please note, this staff must have fifteen (15) hours of ongoing training recorded between 8/26/25 and 8/26/26 as 8/26/24 was their date of employment. Rated License: I received the Application for a Rated License Reassessment, Request to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License, and the Classroom Staff to Child Ratio for Accreditation or Head Start form from Ms. Toole via email on 3/24/26. The facility’s Head Start grantee status was verified on the Head Start website on 5/11/26. As of today, the facility earns a five (5) star license through the Accreditation and Head Start pathway. Please note, the permit packet must be sent for approval by my Supervisor. If there are any discrepancies or if additional information is needed, you will be contacted. Please note, I cannot process the permit packet for the Rated License until compliance from today's visit is reached. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 11 Completed Date: 5/12/2026 Age: From 3 To 5 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Donna Toole, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Toole was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 5/8/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/8/26. Permit type – Five (5) star license issued 2/20/20 Special Services/Restrictions – 1st shit (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start and Transportation. The facility serves children with special needs, offer field trips and a gym. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 4/29/26. The last shelter-in-place drill was practiced on 3/4/26. The last playground inspection was documented on 5/1/26. The last fire inspection was approved on 2/10/26. The last sanitation inspection was conducted on 1/22/26 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 7/5/24 without hazards. Lead paint testing was completed on 4/24/25. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete required testing. The program is approved to provide transportation. The facility does not currently provide transportation for children on a regular basis. Vehicles for all Community Action Opportunities sites are maintained off-site. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was or was not reviewed today. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:15 a.m. to 1:45 p.m. Upon arrival I was greeted by Ayla Lueck, Teacher and Gretchen Buckner, Teacher. Ms. Toole arrived at approximately 10:00am. Children explored the outdoor learning environment. Children tumbled down a small hill, participated in a teacher-led parachute activity and rode tricycles. Children then transitioned indoors, washed hands, and participated in a teacher-led social/emotional learning lesson. Children then washed hands and ate lunch. Lunch today consisted of chicken burritos, pineapple, salad and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report from 11/4/25 did not include the name of the child. One (1) incident report from 11/4/25 did not include the date the parent signed the report. .0802 (e) 853 Incident logs were not completed and maintained as required. Two (2) incidents from 11/4/25 were not logged on the incident log. .0802(g)(1-6) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical report for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, a medical report on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has a medical report on file dated 10/2/26. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The medical report and immunizations for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, an immunization record on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has an immunization record on file dated 10/2/26. 10A NCAC 09 .0302(d)(2) 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 9/5/25. The next lockdown drill was conducted on 3/4/26, six (6) months later. .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) substitute provider did not complete all heath and safety training topics every five (5) years. “Administration of medication, with standards for parental consent” was last completed on 4/19/17, “Handling and storage of hazardous materials and the appropriate disposal of biocontaminants” was last completed on 4/21/17, “Precautions in transporting children” was last completed 4/24/17. .1103(b) Technical assistance was provided as follows: Item #852: The missing information was added to the incident reports during the visit today. This is corrected. No further corrective action is needed. Item #853: The incidents were logged on the incident log during the visit today. This is corrected. No further corrective action is needed. Item #1321 and #1323: To reach compliance with these items, include a statement in your letter of compliance that indicates how you will ensure children’s medical reports and immunization records are on file within thirty (30) days of enrollment. We discussed parents have expressed difficulty with scheduling physicals within 30 days of enrollment due to insurance denying appointments. In this case, we discussed parents can submit their child's most recent well visit as the medical exam. Item #1811: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure lockdown or shelter-in-place drills are occurring every three (3) months. For example, you can state that you will set calendar reminders to ensure the drills are conducted every three (3) months. We discussed you can conduct these drills independently of the public school. Item #1899: To reach compliance with this item, the staff member must complete training for the three (3) overdue topics. Alternatively, if they have completed the training and can locate the training certificates, the certificates must be placed in the staff member’s file. In your letter of compliance, include a statement that indicates that the trainings have been completed and that the certificates are on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/26/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Criminal Background Check (CBC) qualification letter: Staff D. Toole must receive a new CBC qualification letter by 10/4/26. As a reminder, staff can begin the process to receive a new CBC qualification letter up to six (6) months prior to the expiration of the current letter. D. Toole can begin the process to receive a new CBC qualification letter immediately. Sign in/out: We discussed connectivity issues sometimes prevent staff from signing children in on the playground. I recommend printing a paper sign in/out sheet to ensure times are documented accurately in the event of a technology failure. Health and Safety training: Staff AL must complete the topic “Administration of medication, with standards for parental consent” by 11/3/26. On-going training: Per Child Care rule .3013(b) All teacher assistants shall complete a minimum of 15 hours of annual in-service professional development. A combination of college coursework, Continuing Education Units (CEUs), or clock hours may be used to complete the requirements of this Rule. For staff GB, you will record fifteen (15) for the number of hours required for on-going training on the Staff and Training Worksheet, moving forward. Please note, this staff must have fifteen (15) hours of ongoing training recorded between 8/26/25 and 8/26/26 as 8/26/24 was their date of employment. Rated License: I received the Application for a Rated License Reassessment, Request to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License, and the Classroom Staff to Child Ratio for Accreditation or Head Start form from Ms. Toole via email on 3/24/26. The facility’s Head Start grantee status was verified on the Head Start website on 5/11/26. As of today, the facility earns a five (5) star license through the Accreditation and Head Start pathway. Please note, the permit packet must be sent for approval by my Supervisor. If there are any discrepancies or if additional information is needed, you will be contacted. Please note, I cannot process the permit packet for the Rated License until compliance from today's visit is reached. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 11 Completed Date: 5/12/2026 Age: From 3 To 5 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Donna Toole, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Toole was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 5/8/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/8/26. Permit type – Five (5) star license issued 2/20/20 Special Services/Restrictions – 1st shit (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start and Transportation. The facility serves children with special needs, offer field trips and a gym. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 4/29/26. The last shelter-in-place drill was practiced on 3/4/26. The last playground inspection was documented on 5/1/26. The last fire inspection was approved on 2/10/26. The last sanitation inspection was conducted on 1/22/26 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 7/5/24 without hazards. Lead paint testing was completed on 4/24/25. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete required testing. The program is approved to provide transportation. The facility does not currently provide transportation for children on a regular basis. Vehicles for all Community Action Opportunities sites are maintained off-site. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was or was not reviewed today. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:15 a.m. to 1:45 p.m. Upon arrival I was greeted by Ayla Lueck, Teacher and Gretchen Buckner, Teacher. Ms. Toole arrived at approximately 10:00am. Children explored the outdoor learning environment. Children tumbled down a small hill, participated in a teacher-led parachute activity and rode tricycles. Children then transitioned indoors, washed hands, and participated in a teacher-led social/emotional learning lesson. Children then washed hands and ate lunch. Lunch today consisted of chicken burritos, pineapple, salad and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report from 11/4/25 did not include the name of the child. One (1) incident report from 11/4/25 did not include the date the parent signed the report. .0802 (e) 853 Incident logs were not completed and maintained as required. Two (2) incidents from 11/4/25 were not logged on the incident log. .0802(g)(1-6) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical report for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, a medical report on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has a medical report on file dated 10/2/26. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The medical report and immunizations for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, an immunization record on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has an immunization record on file dated 10/2/26. 10A NCAC 09 .0302(d)(2) 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 9/5/25. The next lockdown drill was conducted on 3/4/26, six (6) months later. .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) substitute provider did not complete all heath and safety training topics every five (5) years. “Administration of medication, with standards for parental consent” was last completed on 4/19/17, “Handling and storage of hazardous materials and the appropriate disposal of biocontaminants” was last completed on 4/21/17, “Precautions in transporting children” was last completed 4/24/17. .1103(b) Technical assistance was provided as follows: Item #852: The missing information was added to the incident reports during the visit today. This is corrected. No further corrective action is needed. Item #853: The incidents were logged on the incident log during the visit today. This is corrected. No further corrective action is needed. Item #1321 and #1323: To reach compliance with these items, include a statement in your letter of compliance that indicates how you will ensure children’s medical reports and immunization records are on file within thirty (30) days of enrollment. We discussed parents have expressed difficulty with scheduling physicals within 30 days of enrollment due to insurance denying appointments. In this case, we discussed parents can submit their child's most recent well visit as the medical exam. Item #1811: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure lockdown or shelter-in-place drills are occurring every three (3) months. For example, you can state that you will set calendar reminders to ensure the drills are conducted every three (3) months. We discussed you can conduct these drills independently of the public school. Item #1899: To reach compliance with this item, the staff member must complete training for the three (3) overdue topics. Alternatively, if they have completed the training and can locate the training certificates, the certificates must be placed in the staff member’s file. In your letter of compliance, include a statement that indicates that the trainings have been completed and that the certificates are on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/26/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Criminal Background Check (CBC) qualification letter: Staff D. Toole must receive a new CBC qualification letter by 10/4/26. As a reminder, staff can begin the process to receive a new CBC qualification letter up to six (6) months prior to the expiration of the current letter. D. Toole can begin the process to receive a new CBC qualification letter immediately. Sign in/out: We discussed connectivity issues sometimes prevent staff from signing children in on the playground. I recommend printing a paper sign in/out sheet to ensure times are documented accurately in the event of a technology failure. Health and Safety training: Staff AL must complete the topic “Administration of medication, with standards for parental consent” by 11/3/26. On-going training: Per Child Care rule .3013(b) All teacher assistants shall complete a minimum of 15 hours of annual in-service professional development. A combination of college coursework, Continuing Education Units (CEUs), or clock hours may be used to complete the requirements of this Rule. For staff GB, you will record fifteen (15) for the number of hours required for on-going training on the Staff and Training Worksheet, moving forward. Please note, this staff must have fifteen (15) hours of ongoing training recorded between 8/26/25 and 8/26/26 as 8/26/24 was their date of employment. Rated License: I received the Application for a Rated License Reassessment, Request to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License, and the Classroom Staff to Child Ratio for Accreditation or Head Start form from Ms. Toole via email on 3/24/26. The facility’s Head Start grantee status was verified on the Head Start website on 5/11/26. As of today, the facility earns a five (5) star license through the Accreditation and Head Start pathway. Please note, the permit packet must be sent for approval by my Supervisor. If there are any discrepancies or if additional information is needed, you will be contacted. Please note, I cannot process the permit packet for the Rated License until compliance from today's visit is reached. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 11 Completed Date: 5/12/2026 Age: From 3 To 5 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Donna Toole, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Toole was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 5/8/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/8/26. Permit type – Five (5) star license issued 2/20/20 Special Services/Restrictions – 1st shit (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start and Transportation. The facility serves children with special needs, offer field trips and a gym. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 4/29/26. The last shelter-in-place drill was practiced on 3/4/26. The last playground inspection was documented on 5/1/26. The last fire inspection was approved on 2/10/26. The last sanitation inspection was conducted on 1/22/26 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 7/5/24 without hazards. Lead paint testing was completed on 4/24/25. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete required testing. The program is approved to provide transportation. The facility does not currently provide transportation for children on a regular basis. Vehicles for all Community Action Opportunities sites are maintained off-site. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was or was not reviewed today. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:15 a.m. to 1:45 p.m. Upon arrival I was greeted by Ayla Lueck, Teacher and Gretchen Buckner, Teacher. Ms. Toole arrived at approximately 10:00am. Children explored the outdoor learning environment. Children tumbled down a small hill, participated in a teacher-led parachute activity and rode tricycles. Children then transitioned indoors, washed hands, and participated in a teacher-led social/emotional learning lesson. Children then washed hands and ate lunch. Lunch today consisted of chicken burritos, pineapple, salad and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report from 11/4/25 did not include the name of the child. One (1) incident report from 11/4/25 did not include the date the parent signed the report. .0802 (e) 853 Incident logs were not completed and maintained as required. Two (2) incidents from 11/4/25 were not logged on the incident log. .0802(g)(1-6) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical report for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, a medical report on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has a medical report on file dated 10/2/26. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The medical report and immunizations for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, an immunization record on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has an immunization record on file dated 10/2/26. 10A NCAC 09 .0302(d)(2) 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 9/5/25. The next lockdown drill was conducted on 3/4/26, six (6) months later. .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) substitute provider did not complete all heath and safety training topics every five (5) years. “Administration of medication, with standards for parental consent” was last completed on 4/19/17, “Handling and storage of hazardous materials and the appropriate disposal of biocontaminants” was last completed on 4/21/17, “Precautions in transporting children” was last completed 4/24/17. .1103(b) Technical assistance was provided as follows: Item #852: The missing information was added to the incident reports during the visit today. This is corrected. No further corrective action is needed. Item #853: The incidents were logged on the incident log during the visit today. This is corrected. No further corrective action is needed. Item #1321 and #1323: To reach compliance with these items, include a statement in your letter of compliance that indicates how you will ensure children’s medical reports and immunization records are on file within thirty (30) days of enrollment. We discussed parents have expressed difficulty with scheduling physicals within 30 days of enrollment due to insurance denying appointments. In this case, we discussed parents can submit their child's most recent well visit as the medical exam. Item #1811: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure lockdown or shelter-in-place drills are occurring every three (3) months. For example, you can state that you will set calendar reminders to ensure the drills are conducted every three (3) months. We discussed you can conduct these drills independently of the public school. Item #1899: To reach compliance with this item, the staff member must complete training for the three (3) overdue topics. Alternatively, if they have completed the training and can locate the training certificates, the certificates must be placed in the staff member’s file. In your letter of compliance, include a statement that indicates that the trainings have been completed and that the certificates are on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/26/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Criminal Background Check (CBC) qualification letter: Staff D. Toole must receive a new CBC qualification letter by 10/4/26. As a reminder, staff can begin the process to receive a new CBC qualification letter up to six (6) months prior to the expiration of the current letter. D. Toole can begin the process to receive a new CBC qualification letter immediately. Sign in/out: We discussed connectivity issues sometimes prevent staff from signing children in on the playground. I recommend printing a paper sign in/out sheet to ensure times are documented accurately in the event of a technology failure. Health and Safety training: Staff AL must complete the topic “Administration of medication, with standards for parental consent” by 11/3/26. On-going training: Per Child Care rule .3013(b) All teacher assistants shall complete a minimum of 15 hours of annual in-service professional development. A combination of college coursework, Continuing Education Units (CEUs), or clock hours may be used to complete the requirements of this Rule. For staff GB, you will record fifteen (15) for the number of hours required for on-going training on the Staff and Training Worksheet, moving forward. Please note, this staff must have fifteen (15) hours of ongoing training recorded between 8/26/25 and 8/26/26 as 8/26/24 was their date of employment. Rated License: I received the Application for a Rated License Reassessment, Request to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License, and the Classroom Staff to Child Ratio for Accreditation or Head Start form from Ms. Toole via email on 3/24/26. The facility’s Head Start grantee status was verified on the Head Start website on 5/11/26. As of today, the facility earns a five (5) star license through the Accreditation and Head Start pathway. Please note, the permit packet must be sent for approval by my Supervisor. If there are any discrepancies or if additional information is needed, you will be contacted. Please note, I cannot process the permit packet for the Rated License until compliance from today's visit is reached. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 11 Completed Date: 5/12/2026 Age: From 3 To 5 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Donna Toole, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Toole was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 5/8/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/8/26. Permit type – Five (5) star license issued 2/20/20 Special Services/Restrictions – 1st shit (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start and Transportation. The facility serves children with special needs, offer field trips and a gym. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 4/29/26. The last shelter-in-place drill was practiced on 3/4/26. The last playground inspection was documented on 5/1/26. The last fire inspection was approved on 2/10/26. The last sanitation inspection was conducted on 1/22/26 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 7/5/24 without hazards. Lead paint testing was completed on 4/24/25. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete required testing. The program is approved to provide transportation. The facility does not currently provide transportation for children on a regular basis. Vehicles for all Community Action Opportunities sites are maintained off-site. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was or was not reviewed today. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:15 a.m. to 1:45 p.m. Upon arrival I was greeted by Ayla Lueck, Teacher and Gretchen Buckner, Teacher. Ms. Toole arrived at approximately 10:00am. Children explored the outdoor learning environment. Children tumbled down a small hill, participated in a teacher-led parachute activity and rode tricycles. Children then transitioned indoors, washed hands, and participated in a teacher-led social/emotional learning lesson. Children then washed hands and ate lunch. Lunch today consisted of chicken burritos, pineapple, salad and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report from 11/4/25 did not include the name of the child. One (1) incident report from 11/4/25 did not include the date the parent signed the report. .0802 (e) 853 Incident logs were not completed and maintained as required. Two (2) incidents from 11/4/25 were not logged on the incident log. .0802(g)(1-6) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical report for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, a medical report on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has a medical report on file dated 10/2/26. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The medical report and immunizations for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, an immunization record on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has an immunization record on file dated 10/2/26. 10A NCAC 09 .0302(d)(2) 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 9/5/25. The next lockdown drill was conducted on 3/4/26, six (6) months later. .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) substitute provider did not complete all heath and safety training topics every five (5) years. “Administration of medication, with standards for parental consent” was last completed on 4/19/17, “Handling and storage of hazardous materials and the appropriate disposal of biocontaminants” was last completed on 4/21/17, “Precautions in transporting children” was last completed 4/24/17. .1103(b) Technical assistance was provided as follows: Item #852: The missing information was added to the incident reports during the visit today. This is corrected. No further corrective action is needed. Item #853: The incidents were logged on the incident log during the visit today. This is corrected. No further corrective action is needed. Item #1321 and #1323: To reach compliance with these items, include a statement in your letter of compliance that indicates how you will ensure children’s medical reports and immunization records are on file within thirty (30) days of enrollment. We discussed parents have expressed difficulty with scheduling physicals within 30 days of enrollment due to insurance denying appointments. In this case, we discussed parents can submit their child's most recent well visit as the medical exam. Item #1811: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure lockdown or shelter-in-place drills are occurring every three (3) months. For example, you can state that you will set calendar reminders to ensure the drills are conducted every three (3) months. We discussed you can conduct these drills independently of the public school. Item #1899: To reach compliance with this item, the staff member must complete training for the three (3) overdue topics. Alternatively, if they have completed the training and can locate the training certificates, the certificates must be placed in the staff member’s file. In your letter of compliance, include a statement that indicates that the trainings have been completed and that the certificates are on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/26/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Criminal Background Check (CBC) qualification letter: Staff D. Toole must receive a new CBC qualification letter by 10/4/26. As a reminder, staff can begin the process to receive a new CBC qualification letter up to six (6) months prior to the expiration of the current letter. D. Toole can begin the process to receive a new CBC qualification letter immediately. Sign in/out: We discussed connectivity issues sometimes prevent staff from signing children in on the playground. I recommend printing a paper sign in/out sheet to ensure times are documented accurately in the event of a technology failure. Health and Safety training: Staff AL must complete the topic “Administration of medication, with standards for parental consent” by 11/3/26. On-going training: Per Child Care rule .3013(b) All teacher assistants shall complete a minimum of 15 hours of annual in-service professional development. A combination of college coursework, Continuing Education Units (CEUs), or clock hours may be used to complete the requirements of this Rule. For staff GB, you will record fifteen (15) for the number of hours required for on-going training on the Staff and Training Worksheet, moving forward. Please note, this staff must have fifteen (15) hours of ongoing training recorded between 8/26/25 and 8/26/26 as 8/26/24 was their date of employment. Rated License: I received the Application for a Rated License Reassessment, Request to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License, and the Classroom Staff to Child Ratio for Accreditation or Head Start form from Ms. Toole via email on 3/24/26. The facility’s Head Start grantee status was verified on the Head Start website on 5/11/26. As of today, the facility earns a five (5) star license through the Accreditation and Head Start pathway. Please note, the permit packet must be sent for approval by my Supervisor. If there are any discrepancies or if additional information is needed, you will be contacted. Please note, I cannot process the permit packet for the Rated License until compliance from today's visit is reached. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 11 Completed Date: 5/12/2026 Age: From 3 To 5 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Donna Toole, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Toole was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 5/8/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/8/26. Permit type – Five (5) star license issued 2/20/20 Special Services/Restrictions – 1st shit (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start and Transportation. The facility serves children with special needs, offer field trips and a gym. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 4/29/26. The last shelter-in-place drill was practiced on 3/4/26. The last playground inspection was documented on 5/1/26. The last fire inspection was approved on 2/10/26. The last sanitation inspection was conducted on 1/22/26 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 7/5/24 without hazards. Lead paint testing was completed on 4/24/25. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete required testing. The program is approved to provide transportation. The facility does not currently provide transportation for children on a regular basis. Vehicles for all Community Action Opportunities sites are maintained off-site. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was or was not reviewed today. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:15 a.m. to 1:45 p.m. Upon arrival I was greeted by Ayla Lueck, Teacher and Gretchen Buckner, Teacher. Ms. Toole arrived at approximately 10:00am. Children explored the outdoor learning environment. Children tumbled down a small hill, participated in a teacher-led parachute activity and rode tricycles. Children then transitioned indoors, washed hands, and participated in a teacher-led social/emotional learning lesson. Children then washed hands and ate lunch. Lunch today consisted of chicken burritos, pineapple, salad and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report from 11/4/25 did not include the name of the child. One (1) incident report from 11/4/25 did not include the date the parent signed the report. .0802 (e) 853 Incident logs were not completed and maintained as required. Two (2) incidents from 11/4/25 were not logged on the incident log. .0802(g)(1-6) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical report for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, a medical report on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has a medical report on file dated 10/2/26. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The medical report and immunizations for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, an immunization record on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has an immunization record on file dated 10/2/26. 10A NCAC 09 .0302(d)(2) 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 9/5/25. The next lockdown drill was conducted on 3/4/26, six (6) months later. .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) substitute provider did not complete all heath and safety training topics every five (5) years. “Administration of medication, with standards for parental consent” was last completed on 4/19/17, “Handling and storage of hazardous materials and the appropriate disposal of biocontaminants” was last completed on 4/21/17, “Precautions in transporting children” was last completed 4/24/17. .1103(b) Technical assistance was provided as follows: Item #852: The missing information was added to the incident reports during the visit today. This is corrected. No further corrective action is needed. Item #853: The incidents were logged on the incident log during the visit today. This is corrected. No further corrective action is needed. Item #1321 and #1323: To reach compliance with these items, include a statement in your letter of compliance that indicates how you will ensure children’s medical reports and immunization records are on file within thirty (30) days of enrollment. We discussed parents have expressed difficulty with scheduling physicals within 30 days of enrollment due to insurance denying appointments. In this case, we discussed parents can submit their child's most recent well visit as the medical exam. Item #1811: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure lockdown or shelter-in-place drills are occurring every three (3) months. For example, you can state that you will set calendar reminders to ensure the drills are conducted every three (3) months. We discussed you can conduct these drills independently of the public school. Item #1899: To reach compliance with this item, the staff member must complete training for the three (3) overdue topics. Alternatively, if they have completed the training and can locate the training certificates, the certificates must be placed in the staff member’s file. In your letter of compliance, include a statement that indicates that the trainings have been completed and that the certificates are on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/26/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Criminal Background Check (CBC) qualification letter: Staff D. Toole must receive a new CBC qualification letter by 10/4/26. As a reminder, staff can begin the process to receive a new CBC qualification letter up to six (6) months prior to the expiration of the current letter. D. Toole can begin the process to receive a new CBC qualification letter immediately. Sign in/out: We discussed connectivity issues sometimes prevent staff from signing children in on the playground. I recommend printing a paper sign in/out sheet to ensure times are documented accurately in the event of a technology failure. Health and Safety training: Staff AL must complete the topic “Administration of medication, with standards for parental consent” by 11/3/26. On-going training: Per Child Care rule .3013(b) All teacher assistants shall complete a minimum of 15 hours of annual in-service professional development. A combination of college coursework, Continuing Education Units (CEUs), or clock hours may be used to complete the requirements of this Rule. For staff GB, you will record fifteen (15) for the number of hours required for on-going training on the Staff and Training Worksheet, moving forward. Please note, this staff must have fifteen (15) hours of ongoing training recorded between 8/26/25 and 8/26/26 as 8/26/24 was their date of employment. Rated License: I received the Application for a Rated License Reassessment, Request to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License, and the Classroom Staff to Child Ratio for Accreditation or Head Start form from Ms. Toole via email on 3/24/26. The facility’s Head Start grantee status was verified on the Head Start website on 5/11/26. As of today, the facility earns a five (5) star license through the Accreditation and Head Start pathway. Please note, the permit packet must be sent for approval by my Supervisor. If there are any discrepancies or if additional information is needed, you will be contacted. Please note, I cannot process the permit packet for the Rated License until compliance from today's visit is reached. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/12/2026 Number Present: 11 Completed Date: 5/12/2026 Age: From 3 To 5 Total Minutes: 260 Time In: 09:10 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Donna Toole, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Toole was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 5/8/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 5/8/26. Permit type – Five (5) star license issued 2/20/20 Special Services/Restrictions – 1st shit (daytime care), meets enhanced space, meets reduced ratios. The facility meets requirements to provide NC Pre-K, Head Start and Transportation. The facility serves children with special needs, offer field trips and a gym. The last annual compliance visit was conducted on 9/9/25. The last fire drill was practiced on 4/29/26. The last shelter-in-place drill was practiced on 3/4/26. The last playground inspection was documented on 5/1/26. The last fire inspection was approved on 2/10/26. The last sanitation inspection was conducted on 1/22/26 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Creative Curriculum. Approved formative assessment tool is Teaching Strategies Gold. Lead water testing was completed on 7/5/24 without hazards. Lead paint testing was completed on 4/24/25. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete required testing. The program is approved to provide transportation. The facility does not currently provide transportation for children on a regular basis. Vehicles for all Community Action Opportunities sites are maintained off-site. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was or was not reviewed today. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:15 a.m. to 1:45 p.m. Upon arrival I was greeted by Ayla Lueck, Teacher and Gretchen Buckner, Teacher. Ms. Toole arrived at approximately 10:00am. Children explored the outdoor learning environment. Children tumbled down a small hill, participated in a teacher-led parachute activity and rode tricycles. Children then transitioned indoors, washed hands, and participated in a teacher-led social/emotional learning lesson. Children then washed hands and ate lunch. Lunch today consisted of chicken burritos, pineapple, salad and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One (1) incident report from 11/4/25 did not include the name of the child. One (1) incident report from 11/4/25 did not include the date the parent signed the report. .0802 (e) 853 Incident logs were not completed and maintained as required. Two (2) incidents from 11/4/25 were not logged on the incident log. .0802(g)(1-6) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The medical report for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, a medical report on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has a medical report on file dated 10/2/26. GS110-91(1) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. The medical report and immunizations for two (2) children were not received within thirty (30) days of enrollment. One (1) child, enrollment date 8/25/25, an immunization record on file dated 10/6/25. One (1) child, enrollment date 8/25/25, has an immunization record on file dated 10/2/26. 10A NCAC 09 .0302(d)(2) 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 9/5/25. The next lockdown drill was conducted on 3/4/26, six (6) months later. .0604(u);.0302(d)(8) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) substitute provider did not complete all heath and safety training topics every five (5) years. “Administration of medication, with standards for parental consent” was last completed on 4/19/17, “Handling and storage of hazardous materials and the appropriate disposal of biocontaminants” was last completed on 4/21/17, “Precautions in transporting children” was last completed 4/24/17. .1103(b) Technical assistance was provided as follows: Item #852: The missing information was added to the incident reports during the visit today. This is corrected. No further corrective action is needed. Item #853: The incidents were logged on the incident log during the visit today. This is corrected. No further corrective action is needed. Item #1321 and #1323: To reach compliance with these items, include a statement in your letter of compliance that indicates how you will ensure children’s medical reports and immunization records are on file within thirty (30) days of enrollment. We discussed parents have expressed difficulty with scheduling physicals within 30 days of enrollment due to insurance denying appointments. In this case, we discussed parents can submit their child's most recent well visit as the medical exam. Item #1811: To reach compliance with this item, include a statement in your letter of compliance that indicates how you will ensure lockdown or shelter-in-place drills are occurring every three (3) months. For example, you can state that you will set calendar reminders to ensure the drills are conducted every three (3) months. We discussed you can conduct these drills independently of the public school. Item #1899: To reach compliance with this item, the staff member must complete training for the three (3) overdue topics. Alternatively, if they have completed the training and can locate the training certificates, the certificates must be placed in the staff member’s file. In your letter of compliance, include a statement that indicates that the trainings have been completed and that the certificates are on file. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/26/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Criminal Background Check (CBC) qualification letter: Staff D. Toole must receive a new CBC qualification letter by 10/4/26. As a reminder, staff can begin the process to receive a new CBC qualification letter up to six (6) months prior to the expiration of the current letter. D. Toole can begin the process to receive a new CBC qualification letter immediately. Sign in/out: We discussed connectivity issues sometimes prevent staff from signing children in on the playground. I recommend printing a paper sign in/out sheet to ensure times are documented accurately in the event of a technology failure. Health and Safety training: Staff AL must complete the topic “Administration of medication, with standards for parental consent” by 11/3/26. On-going training: Per Child Care rule .3013(b) All teacher assistants shall complete a minimum of 15 hours of annual in-service professional development. A combination of college coursework, Continuing Education Units (CEUs), or clock hours may be used to complete the requirements of this Rule. For staff GB, you will record fifteen (15) for the number of hours required for on-going training on the Staff and Training Worksheet, moving forward. Please note, this staff must have fifteen (15) hours of ongoing training recorded between 8/26/25 and 8/26/26 as 8/26/24 was their date of employment. Rated License: I received the Application for a Rated License Reassessment, Request to Use Accreditation and Head Start Licensure Pathway to Earn a Star Rated License, and the Classroom Staff to Child Ratio for Accreditation or Head Start form from Ms. Toole via email on 3/24/26. The facility’s Head Start grantee status was verified on the Head Start website on 5/11/26. As of today, the facility earns a five (5) star license through the Accreditation and Head Start pathway. Please note, the permit packet must be sent for approval by my Supervisor. If there are any discrepancies or if additional information is needed, you will be contacted. Please note, I cannot process the permit packet for the Rated License until compliance from today's visit is reached. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/9/2025 Number Present: 16 Completed Date: 9/9/2025 Age: From 3 To 4 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Donna Toole, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Toole was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 9/5/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/5/25. Permit type – Five (5) star license issued 2/20/20 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility is approved to provide transportation, NC Pre-K, Head Start. The facility serves children with special needs, and offers field trips and a gym. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 9/3/25. The last shelter-in-place drill was practiced on 9/5/25. The last playground inspection was documented on 8/25/25. The last fire inspection was approved on 2/5/25. The last sanitation inspection was conducted on 8/29/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 7/5/24 without hazards. Lead paint testing was completed on 4/24/25. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete required testing. The program is approved to provide transportation. Currently, no children are transported on a regular basis and no vehicles are maintained on site. Transportation monitoring for all Community Action Opportunities sites was conducted on 6/25/25. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Continue to follow guidance from NC Pre-K regarding the required completion date of the Site Monitoring Tool. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:15 a.m. to 1:45 p.m. The approved formative assessment tool is Teaching Strategies Gold. Upon arrival I was greeted by Ms. Toole. Children were engaged in independent free choice play. Children explored a sand table, molded playdoh into various shapes, pretended to cook in dramatic play. I observed a transition to outdoor play. A head count and name to face count was conducted at each threshold. Children were offered balls, hula hoops, tricycles and sidewalk chalk on the playground. Interactions were positive and supportive. Supervision was adequate. Lunch today consisted of chicken sandwich, watermelon, carrots and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. A laundry basket was stored on top of the stack of cots with no protective barrier. 15A NCAC 18A .2821(a) 853 Incident logs were not completed and maintained as required. An incident log was not in use. .0802(g)(1-6) Technical assistance was provided as follows: Item #615: The laundry basket was removed from the top of the stack of cots during the visit. This is corrected. If you need to store items on the top of the stack of cots, a protective barrier is needed between the items and the top cot. Item # 853: An incident log was printed and implemented during the visit. This is corrected. As a reminder, all incidents must be documented on an incident report. This includes minor cuts, scrapes and bruises. As a rule of thumb, if you provide First Aid in any way, including ice or band aids, you must complete an incident report. After the incident is documented on the report, you must record the incident on the log provided by the Division. Consultation is provided as follows: Staff G. Buckner’s Criminal Background Check qualifying letter will expire 11/30/25. The application process was initiated on 8/29/25. Continue to work with the Criminal Background Check unit to ensure a determination is reached and a new letter is obtained on or before 11/30/25. Soon, we will schedule a Technical Assistance/Training visit to review the new Quality Rating and Improvement System to determine which Pathway will be best for your facility in order to obtain your new star rated license. I will reach out to schedule this visit with you sometime between October 2025 to March 2026. In the meantime, plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the pathway options. I recommend speeding up transitions such as name to face counts, at least for the first few weeks of the school year. For example, once outside have one teacher call the names of the children to go play, while the other teacher/staff member is assisting children with staying on the fence until their name is called. Additionally, I would recommend calling children who struggle to stay on the fence earlier in the routine, that way you can avoid having to constantly redirect these children, prolonging the transition. If you need additional ideas and support with transitions, the training “Transitions: Creating Smooth Moves” is available through Southwestern Child Development Commission at https://www.swcdcinc.org/. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828.713.8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/9/2025 Number Present: 16 Completed Date: 9/9/2025 Age: From 3 To 4 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Donna Toole, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Toole was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 9/5/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/5/25. Permit type – Five (5) star license issued 2/20/20 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility is approved to provide transportation, NC Pre-K, Head Start. The facility serves children with special needs, and offers field trips and a gym. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 9/3/25. The last shelter-in-place drill was practiced on 9/5/25. The last playground inspection was documented on 8/25/25. The last fire inspection was approved on 2/5/25. The last sanitation inspection was conducted on 8/29/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 7/5/24 without hazards. Lead paint testing was completed on 4/24/25. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete required testing. The program is approved to provide transportation. Currently, no children are transported on a regular basis and no vehicles are maintained on site. Transportation monitoring for all Community Action Opportunities sites was conducted on 6/25/25. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Continue to follow guidance from NC Pre-K regarding the required completion date of the Site Monitoring Tool. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:15 a.m. to 1:45 p.m. The approved formative assessment tool is Teaching Strategies Gold. Upon arrival I was greeted by Ms. Toole. Children were engaged in independent free choice play. Children explored a sand table, molded playdoh into various shapes, pretended to cook in dramatic play. I observed a transition to outdoor play. A head count and name to face count was conducted at each threshold. Children were offered balls, hula hoops, tricycles and sidewalk chalk on the playground. Interactions were positive and supportive. Supervision was adequate. Lunch today consisted of chicken sandwich, watermelon, carrots and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. A laundry basket was stored on top of the stack of cots with no protective barrier. 15A NCAC 18A .2821(a) 853 Incident logs were not completed and maintained as required. An incident log was not in use. .0802(g)(1-6) Technical assistance was provided as follows: Item #615: The laundry basket was removed from the top of the stack of cots during the visit. This is corrected. If you need to store items on the top of the stack of cots, a protective barrier is needed between the items and the top cot. Item # 853: An incident log was printed and implemented during the visit. This is corrected. As a reminder, all incidents must be documented on an incident report. This includes minor cuts, scrapes and bruises. As a rule of thumb, if you provide First Aid in any way, including ice or band aids, you must complete an incident report. After the incident is documented on the report, you must record the incident on the log provided by the Division. Consultation is provided as follows: Staff G. Buckner’s Criminal Background Check qualifying letter will expire 11/30/25. The application process was initiated on 8/29/25. Continue to work with the Criminal Background Check unit to ensure a determination is reached and a new letter is obtained on or before 11/30/25. Soon, we will schedule a Technical Assistance/Training visit to review the new Quality Rating and Improvement System to determine which Pathway will be best for your facility in order to obtain your new star rated license. I will reach out to schedule this visit with you sometime between October 2025 to March 2026. In the meantime, plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the pathway options. I recommend speeding up transitions such as name to face counts, at least for the first few weeks of the school year. For example, once outside have one teacher call the names of the children to go play, while the other teacher/staff member is assisting children with staying on the fence until their name is called. Additionally, I would recommend calling children who struggle to stay on the fence earlier in the routine, that way you can avoid having to constantly redirect these children, prolonging the transition. If you need additional ideas and support with transitions, the training “Transitions: Creating Smooth Moves” is available through Southwestern Child Development Commission at https://www.swcdcinc.org/. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828.713.8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/9/2025 Number Present: 16 Completed Date: 9/9/2025 Age: From 3 To 4 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Donna Toole, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Toole was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 9/5/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/5/25. Permit type – Five (5) star license issued 2/20/20 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility is approved to provide transportation, NC Pre-K, Head Start. The facility serves children with special needs, and offers field trips and a gym. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 9/3/25. The last shelter-in-place drill was practiced on 9/5/25. The last playground inspection was documented on 8/25/25. The last fire inspection was approved on 2/5/25. The last sanitation inspection was conducted on 8/29/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 7/5/24 without hazards. Lead paint testing was completed on 4/24/25. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete required testing. The program is approved to provide transportation. Currently, no children are transported on a regular basis and no vehicles are maintained on site. Transportation monitoring for all Community Action Opportunities sites was conducted on 6/25/25. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Continue to follow guidance from NC Pre-K regarding the required completion date of the Site Monitoring Tool. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:15 a.m. to 1:45 p.m. The approved formative assessment tool is Teaching Strategies Gold. Upon arrival I was greeted by Ms. Toole. Children were engaged in independent free choice play. Children explored a sand table, molded playdoh into various shapes, pretended to cook in dramatic play. I observed a transition to outdoor play. A head count and name to face count was conducted at each threshold. Children were offered balls, hula hoops, tricycles and sidewalk chalk on the playground. Interactions were positive and supportive. Supervision was adequate. Lunch today consisted of chicken sandwich, watermelon, carrots and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. A laundry basket was stored on top of the stack of cots with no protective barrier. 15A NCAC 18A .2821(a) 853 Incident logs were not completed and maintained as required. An incident log was not in use. .0802(g)(1-6) Technical assistance was provided as follows: Item #615: The laundry basket was removed from the top of the stack of cots during the visit. This is corrected. If you need to store items on the top of the stack of cots, a protective barrier is needed between the items and the top cot. Item # 853: An incident log was printed and implemented during the visit. This is corrected. As a reminder, all incidents must be documented on an incident report. This includes minor cuts, scrapes and bruises. As a rule of thumb, if you provide First Aid in any way, including ice or band aids, you must complete an incident report. After the incident is documented on the report, you must record the incident on the log provided by the Division. Consultation is provided as follows: Staff G. Buckner’s Criminal Background Check qualifying letter will expire 11/30/25. The application process was initiated on 8/29/25. Continue to work with the Criminal Background Check unit to ensure a determination is reached and a new letter is obtained on or before 11/30/25. Soon, we will schedule a Technical Assistance/Training visit to review the new Quality Rating and Improvement System to determine which Pathway will be best for your facility in order to obtain your new star rated license. I will reach out to schedule this visit with you sometime between October 2025 to March 2026. In the meantime, plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the pathway options. I recommend speeding up transitions such as name to face counts, at least for the first few weeks of the school year. For example, once outside have one teacher call the names of the children to go play, while the other teacher/staff member is assisting children with staying on the fence until their name is called. Additionally, I would recommend calling children who struggle to stay on the fence earlier in the routine, that way you can avoid having to constantly redirect these children, prolonging the transition. If you need additional ideas and support with transitions, the training “Transitions: Creating Smooth Moves” is available through Southwestern Child Development Commission at https://www.swcdcinc.org/. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828.713.8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/9/2025 Number Present: 16 Completed Date: 9/9/2025 Age: From 3 To 4 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Donna Toole, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Toole was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight percent (98%) as of 9/5/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 9/5/25. Permit type – Five (5) star license issued 2/20/20 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The facility is approved to provide transportation, NC Pre-K, Head Start. The facility serves children with special needs, and offers field trips and a gym. The last annual compliance visit was conducted on 9/18/24. The last fire drill was practiced on 9/3/25. The last shelter-in-place drill was practiced on 9/5/25. The last playground inspection was documented on 8/25/25. The last fire inspection was approved on 2/5/25. The last sanitation inspection was conducted on 8/29/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 7/5/24 without hazards. Lead paint testing was completed on 4/24/25. Asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete required testing. The program is approved to provide transportation. Currently, no children are transported on a regular basis and no vehicles are maintained on site. Transportation monitoring for all Community Action Opportunities sites was conducted on 6/25/25. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Continue to follow guidance from NC Pre-K regarding the required completion date of the Site Monitoring Tool. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 7:15 a.m. to 1:45 p.m. The approved formative assessment tool is Teaching Strategies Gold. Upon arrival I was greeted by Ms. Toole. Children were engaged in independent free choice play. Children explored a sand table, molded playdoh into various shapes, pretended to cook in dramatic play. I observed a transition to outdoor play. A head count and name to face count was conducted at each threshold. Children were offered balls, hula hoops, tricycles and sidewalk chalk on the playground. Interactions were positive and supportive. Supervision was adequate. Lunch today consisted of chicken sandwich, watermelon, carrots and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 615 Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. A laundry basket was stored on top of the stack of cots with no protective barrier. 15A NCAC 18A .2821(a) 853 Incident logs were not completed and maintained as required. An incident log was not in use. .0802(g)(1-6) Technical assistance was provided as follows: Item #615: The laundry basket was removed from the top of the stack of cots during the visit. This is corrected. If you need to store items on the top of the stack of cots, a protective barrier is needed between the items and the top cot. Item # 853: An incident log was printed and implemented during the visit. This is corrected. As a reminder, all incidents must be documented on an incident report. This includes minor cuts, scrapes and bruises. As a rule of thumb, if you provide First Aid in any way, including ice or band aids, you must complete an incident report. After the incident is documented on the report, you must record the incident on the log provided by the Division. Consultation is provided as follows: Staff G. Buckner’s Criminal Background Check qualifying letter will expire 11/30/25. The application process was initiated on 8/29/25. Continue to work with the Criminal Background Check unit to ensure a determination is reached and a new letter is obtained on or before 11/30/25. Soon, we will schedule a Technical Assistance/Training visit to review the new Quality Rating and Improvement System to determine which Pathway will be best for your facility in order to obtain your new star rated license. I will reach out to schedule this visit with you sometime between October 2025 to March 2026. In the meantime, plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the pathway options. I recommend speeding up transitions such as name to face counts, at least for the first few weeks of the school year. For example, once outside have one teacher call the names of the children to go play, while the other teacher/staff member is assisting children with staying on the fence until their name is called. Additionally, I would recommend calling children who struggle to stay on the fence earlier in the routine, that way you can avoid having to constantly redirect these children, prolonging the transition. If you need additional ideas and support with transitions, the training “Transitions: Creating Smooth Moves” is available through Southwestern Child Development Commission at https://www.swcdcinc.org/. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828.713.8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 10 Completed Date: 4/16/2024 Age: From 3 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Eva Alexander, Lead Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Alexander was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 4/12/24. The last fire drill was practiced on 3/27/24. The last emergency drill, lockdown drill, was practiced on 4/15/24. The last fire inspection was approved on 1/26/24. The program’s most recent sanitation inspection was completed on 9/6/23, with six (6) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Children were observed in free choice center play when I arrived. Children pretended to care for babies and prepare food in dramatic play, created rain sticks using paper towel tubes and small wooden rods, explored kinetic sand with various tools, engaged in water play with a magnetic fishing pole and hammered golf tees and plastic screws into a cushion with various plastic tools. Interactions were positive and nurturing. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information form for one (1) staff did not include the choice of health professional. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted on 10/30/23. The next shelter-in-place drill was conducted 2/22/24. .0604(u);.0302(d)(8) Technical Assistance provided as follows: Item #1035 The choice of health professional was added to the Emergency information form during the visit today. Moving forward, ensure all staff complete the choice of health professional on the Emergency information form. We discussed that staff can place the name of the hospital or urgent care facility if they do not have a primary care doctor. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1811 In your letter of compliance, plan to include a statement that indicates how you will ensure shelter-in-place drills are conducted 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). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 10 Completed Date: 4/16/2024 Age: From 3 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Eva Alexander, Lead Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Alexander was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 4/12/24. The last fire drill was practiced on 3/27/24. The last emergency drill, lockdown drill, was practiced on 4/15/24. The last fire inspection was approved on 1/26/24. The program’s most recent sanitation inspection was completed on 9/6/23, with six (6) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Children were observed in free choice center play when I arrived. Children pretended to care for babies and prepare food in dramatic play, created rain sticks using paper towel tubes and small wooden rods, explored kinetic sand with various tools, engaged in water play with a magnetic fishing pole and hammered golf tees and plastic screws into a cushion with various plastic tools. Interactions were positive and nurturing. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information form for one (1) staff did not include the choice of health professional. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted on 10/30/23. The next shelter-in-place drill was conducted 2/22/24. .0604(u);.0302(d)(8) Technical Assistance provided as follows: Item #1035 The choice of health professional was added to the Emergency information form during the visit today. Moving forward, ensure all staff complete the choice of health professional on the Emergency information form. We discussed that staff can place the name of the hospital or urgent care facility if they do not have a primary care doctor. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1811 In your letter of compliance, plan to include a statement that indicates how you will ensure shelter-in-place drills are conducted 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). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 10 Completed Date: 4/16/2024 Age: From 3 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Eva Alexander, Lead Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Alexander was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 4/12/24. The last fire drill was practiced on 3/27/24. The last emergency drill, lockdown drill, was practiced on 4/15/24. The last fire inspection was approved on 1/26/24. The program’s most recent sanitation inspection was completed on 9/6/23, with six (6) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Children were observed in free choice center play when I arrived. Children pretended to care for babies and prepare food in dramatic play, created rain sticks using paper towel tubes and small wooden rods, explored kinetic sand with various tools, engaged in water play with a magnetic fishing pole and hammered golf tees and plastic screws into a cushion with various plastic tools. Interactions were positive and nurturing. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information form for one (1) staff did not include the choice of health professional. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted on 10/30/23. The next shelter-in-place drill was conducted 2/22/24. .0604(u);.0302(d)(8) Technical Assistance provided as follows: Item #1035 The choice of health professional was added to the Emergency information form during the visit today. Moving forward, ensure all staff complete the choice of health professional on the Emergency information form. We discussed that staff can place the name of the hospital or urgent care facility if they do not have a primary care doctor. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1811 In your letter of compliance, plan to include a statement that indicates how you will ensure shelter-in-place drills are conducted 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). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 10 Completed Date: 4/16/2024 Age: From 3 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Eva Alexander, Lead Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Alexander was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 4/12/24. The last fire drill was practiced on 3/27/24. The last emergency drill, lockdown drill, was practiced on 4/15/24. The last fire inspection was approved on 1/26/24. The program’s most recent sanitation inspection was completed on 9/6/23, with six (6) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Children were observed in free choice center play when I arrived. Children pretended to care for babies and prepare food in dramatic play, created rain sticks using paper towel tubes and small wooden rods, explored kinetic sand with various tools, engaged in water play with a magnetic fishing pole and hammered golf tees and plastic screws into a cushion with various plastic tools. Interactions were positive and nurturing. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information form for one (1) staff did not include the choice of health professional. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted on 10/30/23. The next shelter-in-place drill was conducted 2/22/24. .0604(u);.0302(d)(8) Technical Assistance provided as follows: Item #1035 The choice of health professional was added to the Emergency information form during the visit today. Moving forward, ensure all staff complete the choice of health professional on the Emergency information form. We discussed that staff can place the name of the hospital or urgent care facility if they do not have a primary care doctor. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1811 In your letter of compliance, plan to include a statement that indicates how you will ensure shelter-in-place drills are conducted 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). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: OAKLEY ELEMENTARY SCHOOL HEAD START Facility ID: 11000904 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/16/2024 Number Present: 10 Completed Date: 4/16/2024 Age: From 3 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Eva Alexander, Lead Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Alexander was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 4/12/24. The last fire drill was practiced on 3/27/24. The last emergency drill, lockdown drill, was practiced on 4/15/24. The last fire inspection was approved on 1/26/24. The program’s most recent sanitation inspection was completed on 9/6/23, with six (6) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Children were observed in free choice center play when I arrived. Children pretended to care for babies and prepare food in dramatic play, created rain sticks using paper towel tubes and small wooden rods, explored kinetic sand with various tools, engaged in water play with a magnetic fishing pole and hammered golf tees and plastic screws into a cushion with various plastic tools. Interactions were positive and nurturing. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information form for one (1) staff did not include the choice of health professional. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place drill was conducted on 10/30/23. The next shelter-in-place drill was conducted 2/22/24. .0604(u);.0302(d)(8) Technical Assistance provided as follows: Item #1035 The choice of health professional was added to the Emergency information form during the visit today. Moving forward, ensure all staff complete the choice of health professional on the Emergency information form. We discussed that staff can place the name of the hospital or urgent care facility if they do not have a primary care doctor. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1811 In your letter of compliance, plan to include a statement that indicates how you will ensure shelter-in-place drills are conducted 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). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times