THE Christine Avery Learning Center - ST. Mark'S

10A NCAC 09 .0304 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 21 Completed Date: 1/21/2026 Age: From 3 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 1/15/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc., is current/active as of 1/15/26. Permit type – Four (4) star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, no cooking allowed, no children under 2.5 years of age. The facility is approved to provide NC Pre-K services. This was verified on the NC Pre-K plan website. This information is now reflected on the Facility Input page in Regulatory. The last annual compliance visit was conducted on 1/30/25. The last fire drill was practiced on 12/23/25. The last shelter-in-place drill was practiced on 8/20/25. A lockdown drill was conducted during the visit today. The drill lasted approximately three (3) minutes. The last playground inspection was documented on 12/1/25. The last fire inspection was approved on 8/25/25. The last sanitation inspection was conducted on 9/10/25 with five (5) 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 and Experience Early Learning. The approved formative assessment tool for NC Pre-K is Teaching Strategies Gold. Lead water testing was completed on 7/18/25 without hazards. Lead paint and asbestos has not been completed. The Clean Classrooms for Carolina Kids website states the status as “Enrollment started”. Visit https://www.cleanwaterforuskids.org/en/carolina/ to complete enrollment. Continue to work with RTI to complete the required testing. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. For this site, buses are used primarily for field trips. The vehicles are kept at the facility’s other location at 59 Gaston St. Asheville, NC 28801. Monitoring for these vehicles was completed on 9/17/25. 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 reviewed today. The tool was completed on 10/29/25 and was reviewed by Buncombe Partnership for Children on 12/22/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:00 a.m. to 2:30 p.m. 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 103 The number of children present was not within permit capacity. There were twenty-one (21) children present at the facility today. The licensed capacity is twenty (20) children. GS 110-91(7) & .1401(f) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 5/1/25, had a medical report on file dated 5/6/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/1/25, had a TB test/screening on file dated 5/9/25. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff did not update the Health Questionnaire annually. .0701(a) 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. Two (2) staff did not update the Emergency Information annually. One (1) staff did not include the choice of health care professional on the Emergency information form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) staff, hire date 5/1/25, had a Criminal Background Check letter on file dated 5/6/25. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 5/1/25, completed orientation training for the topics required to be covered within the first two (2) weeks of employment on 7/3/25. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted on 8/20/25. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with asthma and food allergy did not have a Medical Action Plan on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 5/1/25, did not sign the acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(d)(1-4) Technical assistance was provided as follows: Item # 103: The children present at the facility must be within the capacity listed on your license. We discussed, you were issued a license with the capacity of twenty (20) children because that is what was requested on the original application, completed on 2/1/22. We discussed that the space capacity and building inspection allow for more children. The building inspection states a capacity of thirty (30) children due to plumbing. The enhanced space capacity of classroom space 1 is twelve (12) children at thirty (30) square feet per child. The enhanced space capacity of classroom space 2 is twenty-one (21) children at thirty (30) square feet per child. The enhanced space capacity of the playground is twenty-two (22) children at one hundred (100) square feet per child. I recommend requesting a capacity increase to twenty-two (22) children if you would like both classrooms to be on the playground at the same time. You can request a higher capacity if each group will use the playground at different times. To request a change in capacity, send me a request on letter head. Include the old capacity as well as the capacity you would like to have on your license. Plan to send me this request on or before 2/4/26. Please note, the children present remain within your current capacity of twenty (20) children until you receive the license with the new capacity. A return visit will be made to ensure the children present is within the licensed capacity. In your letter of compliance, include a statement that indicates how you will ensure the number of children present at any given time is within the licensed capacity. Item #1032 and #1033: Staff must have a medical report on file prior to employment and a TB test/screening on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1034 and #1035: The Health Questionnaire and Emergency Information forms were updated for staff during the visit. This is corrected. Item #1041: Staff must have a Criminal Background Check qualifying letter on file prior to employment. In your letter of compliance, include a statement that indicates how you will ensure staff complete this requirement, prior to employment. Item #1067: Staff must complete orientation training topics as outlined in rule .1101(a). In your letter of compliance, include a statement that indicates how you will ensure orientation training topics are completed in the required timeline. Item #1811: A lockdown drill was conducted during the visit today. This is corrected. Moving forward, plan to set a calendar reminder to ensure you are conducting lockdown drills and shelter-in-place drills every three (3) months. Item #1834: One (1) child with asthma and food allergy did not have a Medical Action Plan on file. To reach compliance with this item, the parent must complete a Medical Action Plan for both asthma and food allergies. These forms can be located on the Division’s website under the Provider tab>Provider Documents and Forms. Item #1874: The staff member signed the acknowledgement during the visit today. This is corrected. Moving forward, plan to screen all documents completed by staff to ensure they are completed correctly. Achieving Compliance: A follow-up visit will be conducted to verify compliance that the children present are within the licensed capacity. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/4/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review lockdown procedures with the staff and children in classroom space 1. The lockdown drill occurred during a transition today. Plan to review procedures during a transition to ensure staff and children are confident with safety procedures at all times of the day. The Criminal Background Check qualifying letter for staff A. Moore will expire 3/18/26. Ms. Moore can begin the process now to complete the background check. As a reminder, staff will need the provider code when completing the application to ensure the new letter is linked to your facility. As a reminder, plan to conduct the fire drill and playground inspection on or before 1/30/26. Due to inclement weather, some closures next week may be possible. I recommend conducting these monthly drills/inspections this week. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 21 Completed Date: 1/21/2026 Age: From 3 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 1/15/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc., is current/active as of 1/15/26. Permit type – Four (4) star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, no cooking allowed, no children under 2.5 years of age. The facility is approved to provide NC Pre-K services. This was verified on the NC Pre-K plan website. This information is now reflected on the Facility Input page in Regulatory. The last annual compliance visit was conducted on 1/30/25. The last fire drill was practiced on 12/23/25. The last shelter-in-place drill was practiced on 8/20/25. A lockdown drill was conducted during the visit today. The drill lasted approximately three (3) minutes. The last playground inspection was documented on 12/1/25. The last fire inspection was approved on 8/25/25. The last sanitation inspection was conducted on 9/10/25 with five (5) 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 and Experience Early Learning. The approved formative assessment tool for NC Pre-K is Teaching Strategies Gold. Lead water testing was completed on 7/18/25 without hazards. Lead paint and asbestos has not been completed. The Clean Classrooms for Carolina Kids website states the status as “Enrollment started”. Visit https://www.cleanwaterforuskids.org/en/carolina/ to complete enrollment. Continue to work with RTI to complete the required testing. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. For this site, buses are used primarily for field trips. The vehicles are kept at the facility’s other location at 59 Gaston St. Asheville, NC 28801. Monitoring for these vehicles was completed on 9/17/25. 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 reviewed today. The tool was completed on 10/29/25 and was reviewed by Buncombe Partnership for Children on 12/22/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:00 a.m. to 2:30 p.m. 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 103 The number of children present was not within permit capacity. There were twenty-one (21) children present at the facility today. The licensed capacity is twenty (20) children. GS 110-91(7) & .1401(f) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 5/1/25, had a medical report on file dated 5/6/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/1/25, had a TB test/screening on file dated 5/9/25. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff did not update the Health Questionnaire annually. .0701(a) 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. Two (2) staff did not update the Emergency Information annually. One (1) staff did not include the choice of health care professional on the Emergency information form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) staff, hire date 5/1/25, had a Criminal Background Check letter on file dated 5/6/25. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 5/1/25, completed orientation training for the topics required to be covered within the first two (2) weeks of employment on 7/3/25. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted on 8/20/25. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with asthma and food allergy did not have a Medical Action Plan on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 5/1/25, did not sign the acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(d)(1-4) Technical assistance was provided as follows: Item # 103: The children present at the facility must be within the capacity listed on your license. We discussed, you were issued a license with the capacity of twenty (20) children because that is what was requested on the original application, completed on 2/1/22. We discussed that the space capacity and building inspection allow for more children. The building inspection states a capacity of thirty (30) children due to plumbing. The enhanced space capacity of classroom space 1 is twelve (12) children at thirty (30) square feet per child. The enhanced space capacity of classroom space 2 is twenty-one (21) children at thirty (30) square feet per child. The enhanced space capacity of the playground is twenty-two (22) children at one hundred (100) square feet per child. I recommend requesting a capacity increase to twenty-two (22) children if you would like both classrooms to be on the playground at the same time. You can request a higher capacity if each group will use the playground at different times. To request a change in capacity, send me a request on letter head. Include the old capacity as well as the capacity you would like to have on your license. Plan to send me this request on or before 2/4/26. Please note, the children present remain within your current capacity of twenty (20) children until you receive the license with the new capacity. A return visit will be made to ensure the children present is within the licensed capacity. In your letter of compliance, include a statement that indicates how you will ensure the number of children present at any given time is within the licensed capacity. Item #1032 and #1033: Staff must have a medical report on file prior to employment and a TB test/screening on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1034 and #1035: The Health Questionnaire and Emergency Information forms were updated for staff during the visit. This is corrected. Item #1041: Staff must have a Criminal Background Check qualifying letter on file prior to employment. In your letter of compliance, include a statement that indicates how you will ensure staff complete this requirement, prior to employment. Item #1067: Staff must complete orientation training topics as outlined in rule .1101(a). In your letter of compliance, include a statement that indicates how you will ensure orientation training topics are completed in the required timeline. Item #1811: A lockdown drill was conducted during the visit today. This is corrected. Moving forward, plan to set a calendar reminder to ensure you are conducting lockdown drills and shelter-in-place drills every three (3) months. Item #1834: One (1) child with asthma and food allergy did not have a Medical Action Plan on file. To reach compliance with this item, the parent must complete a Medical Action Plan for both asthma and food allergies. These forms can be located on the Division’s website under the Provider tab>Provider Documents and Forms. Item #1874: The staff member signed the acknowledgement during the visit today. This is corrected. Moving forward, plan to screen all documents completed by staff to ensure they are completed correctly. Achieving Compliance: A follow-up visit will be conducted to verify compliance that the children present are within the licensed capacity. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/4/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review lockdown procedures with the staff and children in classroom space 1. The lockdown drill occurred during a transition today. Plan to review procedures during a transition to ensure staff and children are confident with safety procedures at all times of the day. The Criminal Background Check qualifying letter for staff A. Moore will expire 3/18/26. Ms. Moore can begin the process now to complete the background check. As a reminder, staff will need the provider code when completing the application to ensure the new letter is linked to your facility. As a reminder, plan to conduct the fire drill and playground inspection on or before 1/30/26. Due to inclement weather, some closures next week may be possible. I recommend conducting these monthly drills/inspections this week. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 21 Completed Date: 1/21/2026 Age: From 3 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 1/15/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc., is current/active as of 1/15/26. Permit type – Four (4) star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, no cooking allowed, no children under 2.5 years of age. The facility is approved to provide NC Pre-K services. This was verified on the NC Pre-K plan website. This information is now reflected on the Facility Input page in Regulatory. The last annual compliance visit was conducted on 1/30/25. The last fire drill was practiced on 12/23/25. The last shelter-in-place drill was practiced on 8/20/25. A lockdown drill was conducted during the visit today. The drill lasted approximately three (3) minutes. The last playground inspection was documented on 12/1/25. The last fire inspection was approved on 8/25/25. The last sanitation inspection was conducted on 9/10/25 with five (5) 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 and Experience Early Learning. The approved formative assessment tool for NC Pre-K is Teaching Strategies Gold. Lead water testing was completed on 7/18/25 without hazards. Lead paint and asbestos has not been completed. The Clean Classrooms for Carolina Kids website states the status as “Enrollment started”. Visit https://www.cleanwaterforuskids.org/en/carolina/ to complete enrollment. Continue to work with RTI to complete the required testing. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. For this site, buses are used primarily for field trips. The vehicles are kept at the facility’s other location at 59 Gaston St. Asheville, NC 28801. Monitoring for these vehicles was completed on 9/17/25. 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 reviewed today. The tool was completed on 10/29/25 and was reviewed by Buncombe Partnership for Children on 12/22/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:00 a.m. to 2:30 p.m. 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 103 The number of children present was not within permit capacity. There were twenty-one (21) children present at the facility today. The licensed capacity is twenty (20) children. GS 110-91(7) & .1401(f) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 5/1/25, had a medical report on file dated 5/6/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/1/25, had a TB test/screening on file dated 5/9/25. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff did not update the Health Questionnaire annually. .0701(a) 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. Two (2) staff did not update the Emergency Information annually. One (1) staff did not include the choice of health care professional on the Emergency information form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) staff, hire date 5/1/25, had a Criminal Background Check letter on file dated 5/6/25. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 5/1/25, completed orientation training for the topics required to be covered within the first two (2) weeks of employment on 7/3/25. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted on 8/20/25. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with asthma and food allergy did not have a Medical Action Plan on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 5/1/25, did not sign the acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(d)(1-4) Technical assistance was provided as follows: Item # 103: The children present at the facility must be within the capacity listed on your license. We discussed, you were issued a license with the capacity of twenty (20) children because that is what was requested on the original application, completed on 2/1/22. We discussed that the space capacity and building inspection allow for more children. The building inspection states a capacity of thirty (30) children due to plumbing. The enhanced space capacity of classroom space 1 is twelve (12) children at thirty (30) square feet per child. The enhanced space capacity of classroom space 2 is twenty-one (21) children at thirty (30) square feet per child. The enhanced space capacity of the playground is twenty-two (22) children at one hundred (100) square feet per child. I recommend requesting a capacity increase to twenty-two (22) children if you would like both classrooms to be on the playground at the same time. You can request a higher capacity if each group will use the playground at different times. To request a change in capacity, send me a request on letter head. Include the old capacity as well as the capacity you would like to have on your license. Plan to send me this request on or before 2/4/26. Please note, the children present remain within your current capacity of twenty (20) children until you receive the license with the new capacity. A return visit will be made to ensure the children present is within the licensed capacity. In your letter of compliance, include a statement that indicates how you will ensure the number of children present at any given time is within the licensed capacity. Item #1032 and #1033: Staff must have a medical report on file prior to employment and a TB test/screening on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1034 and #1035: The Health Questionnaire and Emergency Information forms were updated for staff during the visit. This is corrected. Item #1041: Staff must have a Criminal Background Check qualifying letter on file prior to employment. In your letter of compliance, include a statement that indicates how you will ensure staff complete this requirement, prior to employment. Item #1067: Staff must complete orientation training topics as outlined in rule .1101(a). In your letter of compliance, include a statement that indicates how you will ensure orientation training topics are completed in the required timeline. Item #1811: A lockdown drill was conducted during the visit today. This is corrected. Moving forward, plan to set a calendar reminder to ensure you are conducting lockdown drills and shelter-in-place drills every three (3) months. Item #1834: One (1) child with asthma and food allergy did not have a Medical Action Plan on file. To reach compliance with this item, the parent must complete a Medical Action Plan for both asthma and food allergies. These forms can be located on the Division’s website under the Provider tab>Provider Documents and Forms. Item #1874: The staff member signed the acknowledgement during the visit today. This is corrected. Moving forward, plan to screen all documents completed by staff to ensure they are completed correctly. Achieving Compliance: A follow-up visit will be conducted to verify compliance that the children present are within the licensed capacity. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/4/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review lockdown procedures with the staff and children in classroom space 1. The lockdown drill occurred during a transition today. Plan to review procedures during a transition to ensure staff and children are confident with safety procedures at all times of the day. The Criminal Background Check qualifying letter for staff A. Moore will expire 3/18/26. Ms. Moore can begin the process now to complete the background check. As a reminder, staff will need the provider code when completing the application to ensure the new letter is linked to your facility. As a reminder, plan to conduct the fire drill and playground inspection on or before 1/30/26. Due to inclement weather, some closures next week may be possible. I recommend conducting these monthly drills/inspections this week. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 21 Completed Date: 1/21/2026 Age: From 3 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 1/15/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc., is current/active as of 1/15/26. Permit type – Four (4) star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, no cooking allowed, no children under 2.5 years of age. The facility is approved to provide NC Pre-K services. This was verified on the NC Pre-K plan website. This information is now reflected on the Facility Input page in Regulatory. The last annual compliance visit was conducted on 1/30/25. The last fire drill was practiced on 12/23/25. The last shelter-in-place drill was practiced on 8/20/25. A lockdown drill was conducted during the visit today. The drill lasted approximately three (3) minutes. The last playground inspection was documented on 12/1/25. The last fire inspection was approved on 8/25/25. The last sanitation inspection was conducted on 9/10/25 with five (5) 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 and Experience Early Learning. The approved formative assessment tool for NC Pre-K is Teaching Strategies Gold. Lead water testing was completed on 7/18/25 without hazards. Lead paint and asbestos has not been completed. The Clean Classrooms for Carolina Kids website states the status as “Enrollment started”. Visit https://www.cleanwaterforuskids.org/en/carolina/ to complete enrollment. Continue to work with RTI to complete the required testing. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. For this site, buses are used primarily for field trips. The vehicles are kept at the facility’s other location at 59 Gaston St. Asheville, NC 28801. Monitoring for these vehicles was completed on 9/17/25. 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 reviewed today. The tool was completed on 10/29/25 and was reviewed by Buncombe Partnership for Children on 12/22/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:00 a.m. to 2:30 p.m. 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 103 The number of children present was not within permit capacity. There were twenty-one (21) children present at the facility today. The licensed capacity is twenty (20) children. GS 110-91(7) & .1401(f) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 5/1/25, had a medical report on file dated 5/6/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/1/25, had a TB test/screening on file dated 5/9/25. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff did not update the Health Questionnaire annually. .0701(a) 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. Two (2) staff did not update the Emergency Information annually. One (1) staff did not include the choice of health care professional on the Emergency information form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) staff, hire date 5/1/25, had a Criminal Background Check letter on file dated 5/6/25. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 5/1/25, completed orientation training for the topics required to be covered within the first two (2) weeks of employment on 7/3/25. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted on 8/20/25. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with asthma and food allergy did not have a Medical Action Plan on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 5/1/25, did not sign the acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(d)(1-4) Technical assistance was provided as follows: Item # 103: The children present at the facility must be within the capacity listed on your license. We discussed, you were issued a license with the capacity of twenty (20) children because that is what was requested on the original application, completed on 2/1/22. We discussed that the space capacity and building inspection allow for more children. The building inspection states a capacity of thirty (30) children due to plumbing. The enhanced space capacity of classroom space 1 is twelve (12) children at thirty (30) square feet per child. The enhanced space capacity of classroom space 2 is twenty-one (21) children at thirty (30) square feet per child. The enhanced space capacity of the playground is twenty-two (22) children at one hundred (100) square feet per child. I recommend requesting a capacity increase to twenty-two (22) children if you would like both classrooms to be on the playground at the same time. You can request a higher capacity if each group will use the playground at different times. To request a change in capacity, send me a request on letter head. Include the old capacity as well as the capacity you would like to have on your license. Plan to send me this request on or before 2/4/26. Please note, the children present remain within your current capacity of twenty (20) children until you receive the license with the new capacity. A return visit will be made to ensure the children present is within the licensed capacity. In your letter of compliance, include a statement that indicates how you will ensure the number of children present at any given time is within the licensed capacity. Item #1032 and #1033: Staff must have a medical report on file prior to employment and a TB test/screening on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1034 and #1035: The Health Questionnaire and Emergency Information forms were updated for staff during the visit. This is corrected. Item #1041: Staff must have a Criminal Background Check qualifying letter on file prior to employment. In your letter of compliance, include a statement that indicates how you will ensure staff complete this requirement, prior to employment. Item #1067: Staff must complete orientation training topics as outlined in rule .1101(a). In your letter of compliance, include a statement that indicates how you will ensure orientation training topics are completed in the required timeline. Item #1811: A lockdown drill was conducted during the visit today. This is corrected. Moving forward, plan to set a calendar reminder to ensure you are conducting lockdown drills and shelter-in-place drills every three (3) months. Item #1834: One (1) child with asthma and food allergy did not have a Medical Action Plan on file. To reach compliance with this item, the parent must complete a Medical Action Plan for both asthma and food allergies. These forms can be located on the Division’s website under the Provider tab>Provider Documents and Forms. Item #1874: The staff member signed the acknowledgement during the visit today. This is corrected. Moving forward, plan to screen all documents completed by staff to ensure they are completed correctly. Achieving Compliance: A follow-up visit will be conducted to verify compliance that the children present are within the licensed capacity. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/4/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review lockdown procedures with the staff and children in classroom space 1. The lockdown drill occurred during a transition today. Plan to review procedures during a transition to ensure staff and children are confident with safety procedures at all times of the day. The Criminal Background Check qualifying letter for staff A. Moore will expire 3/18/26. Ms. Moore can begin the process now to complete the background check. As a reminder, staff will need the provider code when completing the application to ensure the new letter is linked to your facility. As a reminder, plan to conduct the fire drill and playground inspection on or before 1/30/26. Due to inclement weather, some closures next week may be possible. I recommend conducting these monthly drills/inspections this week. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 21 Completed Date: 1/21/2026 Age: From 3 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 1/15/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc., is current/active as of 1/15/26. Permit type – Four (4) star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, no cooking allowed, no children under 2.5 years of age. The facility is approved to provide NC Pre-K services. This was verified on the NC Pre-K plan website. This information is now reflected on the Facility Input page in Regulatory. The last annual compliance visit was conducted on 1/30/25. The last fire drill was practiced on 12/23/25. The last shelter-in-place drill was practiced on 8/20/25. A lockdown drill was conducted during the visit today. The drill lasted approximately three (3) minutes. The last playground inspection was documented on 12/1/25. The last fire inspection was approved on 8/25/25. The last sanitation inspection was conducted on 9/10/25 with five (5) 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 and Experience Early Learning. The approved formative assessment tool for NC Pre-K is Teaching Strategies Gold. Lead water testing was completed on 7/18/25 without hazards. Lead paint and asbestos has not been completed. The Clean Classrooms for Carolina Kids website states the status as “Enrollment started”. Visit https://www.cleanwaterforuskids.org/en/carolina/ to complete enrollment. Continue to work with RTI to complete the required testing. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. For this site, buses are used primarily for field trips. The vehicles are kept at the facility’s other location at 59 Gaston St. Asheville, NC 28801. Monitoring for these vehicles was completed on 9/17/25. 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 reviewed today. The tool was completed on 10/29/25 and was reviewed by Buncombe Partnership for Children on 12/22/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:00 a.m. to 2:30 p.m. 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 103 The number of children present was not within permit capacity. There were twenty-one (21) children present at the facility today. The licensed capacity is twenty (20) children. GS 110-91(7) & .1401(f) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 5/1/25, had a medical report on file dated 5/6/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/1/25, had a TB test/screening on file dated 5/9/25. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff did not update the Health Questionnaire annually. .0701(a) 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. Two (2) staff did not update the Emergency Information annually. One (1) staff did not include the choice of health care professional on the Emergency information form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) staff, hire date 5/1/25, had a Criminal Background Check letter on file dated 5/6/25. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 5/1/25, completed orientation training for the topics required to be covered within the first two (2) weeks of employment on 7/3/25. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted on 8/20/25. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with asthma and food allergy did not have a Medical Action Plan on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 5/1/25, did not sign the acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(d)(1-4) Technical assistance was provided as follows: Item # 103: The children present at the facility must be within the capacity listed on your license. We discussed, you were issued a license with the capacity of twenty (20) children because that is what was requested on the original application, completed on 2/1/22. We discussed that the space capacity and building inspection allow for more children. The building inspection states a capacity of thirty (30) children due to plumbing. The enhanced space capacity of classroom space 1 is twelve (12) children at thirty (30) square feet per child. The enhanced space capacity of classroom space 2 is twenty-one (21) children at thirty (30) square feet per child. The enhanced space capacity of the playground is twenty-two (22) children at one hundred (100) square feet per child. I recommend requesting a capacity increase to twenty-two (22) children if you would like both classrooms to be on the playground at the same time. You can request a higher capacity if each group will use the playground at different times. To request a change in capacity, send me a request on letter head. Include the old capacity as well as the capacity you would like to have on your license. Plan to send me this request on or before 2/4/26. Please note, the children present remain within your current capacity of twenty (20) children until you receive the license with the new capacity. A return visit will be made to ensure the children present is within the licensed capacity. In your letter of compliance, include a statement that indicates how you will ensure the number of children present at any given time is within the licensed capacity. Item #1032 and #1033: Staff must have a medical report on file prior to employment and a TB test/screening on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1034 and #1035: The Health Questionnaire and Emergency Information forms were updated for staff during the visit. This is corrected. Item #1041: Staff must have a Criminal Background Check qualifying letter on file prior to employment. In your letter of compliance, include a statement that indicates how you will ensure staff complete this requirement, prior to employment. Item #1067: Staff must complete orientation training topics as outlined in rule .1101(a). In your letter of compliance, include a statement that indicates how you will ensure orientation training topics are completed in the required timeline. Item #1811: A lockdown drill was conducted during the visit today. This is corrected. Moving forward, plan to set a calendar reminder to ensure you are conducting lockdown drills and shelter-in-place drills every three (3) months. Item #1834: One (1) child with asthma and food allergy did not have a Medical Action Plan on file. To reach compliance with this item, the parent must complete a Medical Action Plan for both asthma and food allergies. These forms can be located on the Division’s website under the Provider tab>Provider Documents and Forms. Item #1874: The staff member signed the acknowledgement during the visit today. This is corrected. Moving forward, plan to screen all documents completed by staff to ensure they are completed correctly. Achieving Compliance: A follow-up visit will be conducted to verify compliance that the children present are within the licensed capacity. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/4/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review lockdown procedures with the staff and children in classroom space 1. The lockdown drill occurred during a transition today. Plan to review procedures during a transition to ensure staff and children are confident with safety procedures at all times of the day. The Criminal Background Check qualifying letter for staff A. Moore will expire 3/18/26. Ms. Moore can begin the process now to complete the background check. As a reminder, staff will need the provider code when completing the application to ensure the new letter is linked to your facility. As a reminder, plan to conduct the fire drill and playground inspection on or before 1/30/26. Due to inclement weather, some closures next week may be possible. I recommend conducting these monthly drills/inspections this week. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 21 Completed Date: 1/21/2026 Age: From 3 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 1/15/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc., is current/active as of 1/15/26. Permit type – Four (4) star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, no cooking allowed, no children under 2.5 years of age. The facility is approved to provide NC Pre-K services. This was verified on the NC Pre-K plan website. This information is now reflected on the Facility Input page in Regulatory. The last annual compliance visit was conducted on 1/30/25. The last fire drill was practiced on 12/23/25. The last shelter-in-place drill was practiced on 8/20/25. A lockdown drill was conducted during the visit today. The drill lasted approximately three (3) minutes. The last playground inspection was documented on 12/1/25. The last fire inspection was approved on 8/25/25. The last sanitation inspection was conducted on 9/10/25 with five (5) 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 and Experience Early Learning. The approved formative assessment tool for NC Pre-K is Teaching Strategies Gold. Lead water testing was completed on 7/18/25 without hazards. Lead paint and asbestos has not been completed. The Clean Classrooms for Carolina Kids website states the status as “Enrollment started”. Visit https://www.cleanwaterforuskids.org/en/carolina/ to complete enrollment. Continue to work with RTI to complete the required testing. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. For this site, buses are used primarily for field trips. The vehicles are kept at the facility’s other location at 59 Gaston St. Asheville, NC 28801. Monitoring for these vehicles was completed on 9/17/25. 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 reviewed today. The tool was completed on 10/29/25 and was reviewed by Buncombe Partnership for Children on 12/22/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:00 a.m. to 2:30 p.m. 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 103 The number of children present was not within permit capacity. There were twenty-one (21) children present at the facility today. The licensed capacity is twenty (20) children. GS 110-91(7) & .1401(f) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 5/1/25, had a medical report on file dated 5/6/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/1/25, had a TB test/screening on file dated 5/9/25. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff did not update the Health Questionnaire annually. .0701(a) 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. Two (2) staff did not update the Emergency Information annually. One (1) staff did not include the choice of health care professional on the Emergency information form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) staff, hire date 5/1/25, had a Criminal Background Check letter on file dated 5/6/25. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 5/1/25, completed orientation training for the topics required to be covered within the first two (2) weeks of employment on 7/3/25. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted on 8/20/25. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with asthma and food allergy did not have a Medical Action Plan on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 5/1/25, did not sign the acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(d)(1-4) Technical assistance was provided as follows: Item # 103: The children present at the facility must be within the capacity listed on your license. We discussed, you were issued a license with the capacity of twenty (20) children because that is what was requested on the original application, completed on 2/1/22. We discussed that the space capacity and building inspection allow for more children. The building inspection states a capacity of thirty (30) children due to plumbing. The enhanced space capacity of classroom space 1 is twelve (12) children at thirty (30) square feet per child. The enhanced space capacity of classroom space 2 is twenty-one (21) children at thirty (30) square feet per child. The enhanced space capacity of the playground is twenty-two (22) children at one hundred (100) square feet per child. I recommend requesting a capacity increase to twenty-two (22) children if you would like both classrooms to be on the playground at the same time. You can request a higher capacity if each group will use the playground at different times. To request a change in capacity, send me a request on letter head. Include the old capacity as well as the capacity you would like to have on your license. Plan to send me this request on or before 2/4/26. Please note, the children present remain within your current capacity of twenty (20) children until you receive the license with the new capacity. A return visit will be made to ensure the children present is within the licensed capacity. In your letter of compliance, include a statement that indicates how you will ensure the number of children present at any given time is within the licensed capacity. Item #1032 and #1033: Staff must have a medical report on file prior to employment and a TB test/screening on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1034 and #1035: The Health Questionnaire and Emergency Information forms were updated for staff during the visit. This is corrected. Item #1041: Staff must have a Criminal Background Check qualifying letter on file prior to employment. In your letter of compliance, include a statement that indicates how you will ensure staff complete this requirement, prior to employment. Item #1067: Staff must complete orientation training topics as outlined in rule .1101(a). In your letter of compliance, include a statement that indicates how you will ensure orientation training topics are completed in the required timeline. Item #1811: A lockdown drill was conducted during the visit today. This is corrected. Moving forward, plan to set a calendar reminder to ensure you are conducting lockdown drills and shelter-in-place drills every three (3) months. Item #1834: One (1) child with asthma and food allergy did not have a Medical Action Plan on file. To reach compliance with this item, the parent must complete a Medical Action Plan for both asthma and food allergies. These forms can be located on the Division’s website under the Provider tab>Provider Documents and Forms. Item #1874: The staff member signed the acknowledgement during the visit today. This is corrected. Moving forward, plan to screen all documents completed by staff to ensure they are completed correctly. Achieving Compliance: A follow-up visit will be conducted to verify compliance that the children present are within the licensed capacity. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/4/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review lockdown procedures with the staff and children in classroom space 1. The lockdown drill occurred during a transition today. Plan to review procedures during a transition to ensure staff and children are confident with safety procedures at all times of the day. The Criminal Background Check qualifying letter for staff A. Moore will expire 3/18/26. Ms. Moore can begin the process now to complete the background check. As a reminder, staff will need the provider code when completing the application to ensure the new letter is linked to your facility. As a reminder, plan to conduct the fire drill and playground inspection on or before 1/30/26. Due to inclement weather, some closures next week may be possible. I recommend conducting these monthly drills/inspections this week. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 21 Completed Date: 1/21/2026 Age: From 3 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 1/15/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc., is current/active as of 1/15/26. Permit type – Four (4) star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, no cooking allowed, no children under 2.5 years of age. The facility is approved to provide NC Pre-K services. This was verified on the NC Pre-K plan website. This information is now reflected on the Facility Input page in Regulatory. The last annual compliance visit was conducted on 1/30/25. The last fire drill was practiced on 12/23/25. The last shelter-in-place drill was practiced on 8/20/25. A lockdown drill was conducted during the visit today. The drill lasted approximately three (3) minutes. The last playground inspection was documented on 12/1/25. The last fire inspection was approved on 8/25/25. The last sanitation inspection was conducted on 9/10/25 with five (5) 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 and Experience Early Learning. The approved formative assessment tool for NC Pre-K is Teaching Strategies Gold. Lead water testing was completed on 7/18/25 without hazards. Lead paint and asbestos has not been completed. The Clean Classrooms for Carolina Kids website states the status as “Enrollment started”. Visit https://www.cleanwaterforuskids.org/en/carolina/ to complete enrollment. Continue to work with RTI to complete the required testing. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. For this site, buses are used primarily for field trips. The vehicles are kept at the facility’s other location at 59 Gaston St. Asheville, NC 28801. Monitoring for these vehicles was completed on 9/17/25. 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 reviewed today. The tool was completed on 10/29/25 and was reviewed by Buncombe Partnership for Children on 12/22/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:00 a.m. to 2:30 p.m. 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 103 The number of children present was not within permit capacity. There were twenty-one (21) children present at the facility today. The licensed capacity is twenty (20) children. GS 110-91(7) & .1401(f) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 5/1/25, had a medical report on file dated 5/6/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/1/25, had a TB test/screening on file dated 5/9/25. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff did not update the Health Questionnaire annually. .0701(a) 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. Two (2) staff did not update the Emergency Information annually. One (1) staff did not include the choice of health care professional on the Emergency information form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) staff, hire date 5/1/25, had a Criminal Background Check letter on file dated 5/6/25. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 5/1/25, completed orientation training for the topics required to be covered within the first two (2) weeks of employment on 7/3/25. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted on 8/20/25. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with asthma and food allergy did not have a Medical Action Plan on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 5/1/25, did not sign the acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(d)(1-4) Technical assistance was provided as follows: Item # 103: The children present at the facility must be within the capacity listed on your license. We discussed, you were issued a license with the capacity of twenty (20) children because that is what was requested on the original application, completed on 2/1/22. We discussed that the space capacity and building inspection allow for more children. The building inspection states a capacity of thirty (30) children due to plumbing. The enhanced space capacity of classroom space 1 is twelve (12) children at thirty (30) square feet per child. The enhanced space capacity of classroom space 2 is twenty-one (21) children at thirty (30) square feet per child. The enhanced space capacity of the playground is twenty-two (22) children at one hundred (100) square feet per child. I recommend requesting a capacity increase to twenty-two (22) children if you would like both classrooms to be on the playground at the same time. You can request a higher capacity if each group will use the playground at different times. To request a change in capacity, send me a request on letter head. Include the old capacity as well as the capacity you would like to have on your license. Plan to send me this request on or before 2/4/26. Please note, the children present remain within your current capacity of twenty (20) children until you receive the license with the new capacity. A return visit will be made to ensure the children present is within the licensed capacity. In your letter of compliance, include a statement that indicates how you will ensure the number of children present at any given time is within the licensed capacity. Item #1032 and #1033: Staff must have a medical report on file prior to employment and a TB test/screening on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1034 and #1035: The Health Questionnaire and Emergency Information forms were updated for staff during the visit. This is corrected. Item #1041: Staff must have a Criminal Background Check qualifying letter on file prior to employment. In your letter of compliance, include a statement that indicates how you will ensure staff complete this requirement, prior to employment. Item #1067: Staff must complete orientation training topics as outlined in rule .1101(a). In your letter of compliance, include a statement that indicates how you will ensure orientation training topics are completed in the required timeline. Item #1811: A lockdown drill was conducted during the visit today. This is corrected. Moving forward, plan to set a calendar reminder to ensure you are conducting lockdown drills and shelter-in-place drills every three (3) months. Item #1834: One (1) child with asthma and food allergy did not have a Medical Action Plan on file. To reach compliance with this item, the parent must complete a Medical Action Plan for both asthma and food allergies. These forms can be located on the Division’s website under the Provider tab>Provider Documents and Forms. Item #1874: The staff member signed the acknowledgement during the visit today. This is corrected. Moving forward, plan to screen all documents completed by staff to ensure they are completed correctly. Achieving Compliance: A follow-up visit will be conducted to verify compliance that the children present are within the licensed capacity. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/4/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review lockdown procedures with the staff and children in classroom space 1. The lockdown drill occurred during a transition today. Plan to review procedures during a transition to ensure staff and children are confident with safety procedures at all times of the day. The Criminal Background Check qualifying letter for staff A. Moore will expire 3/18/26. Ms. Moore can begin the process now to complete the background check. As a reminder, staff will need the provider code when completing the application to ensure the new letter is linked to your facility. As a reminder, plan to conduct the fire drill and playground inspection on or before 1/30/26. Due to inclement weather, some closures next week may be possible. I recommend conducting these monthly drills/inspections this week. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/21/2026 Number Present: 21 Completed Date: 1/21/2026 Age: From 3 To 5 Total Minutes: 330 Time In: 09:00 AM Time Out: 02:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 1/15/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc., is current/active as of 1/15/26. Permit type – Four (4) star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, no cooking allowed, no children under 2.5 years of age. The facility is approved to provide NC Pre-K services. This was verified on the NC Pre-K plan website. This information is now reflected on the Facility Input page in Regulatory. The last annual compliance visit was conducted on 1/30/25. The last fire drill was practiced on 12/23/25. The last shelter-in-place drill was practiced on 8/20/25. A lockdown drill was conducted during the visit today. The drill lasted approximately three (3) minutes. The last playground inspection was documented on 12/1/25. The last fire inspection was approved on 8/25/25. The last sanitation inspection was conducted on 9/10/25 with five (5) 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 and Experience Early Learning. The approved formative assessment tool for NC Pre-K is Teaching Strategies Gold. Lead water testing was completed on 7/18/25 without hazards. Lead paint and asbestos has not been completed. The Clean Classrooms for Carolina Kids website states the status as “Enrollment started”. Visit https://www.cleanwaterforuskids.org/en/carolina/ to complete enrollment. Continue to work with RTI to complete the required testing. The program is approved to provide transportation. You stated that you do not transport children on a regular basis. For this site, buses are used primarily for field trips. The vehicles are kept at the facility’s other location at 59 Gaston St. Asheville, NC 28801. Monitoring for these vehicles was completed on 9/17/25. 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 reviewed today. The tool was completed on 10/29/25 and was reviewed by Buncombe Partnership for Children on 12/22/25. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:00 a.m. to 2:30 p.m. 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 103 The number of children present was not within permit capacity. There were twenty-one (21) children present at the facility today. The licensed capacity is twenty (20) children. GS 110-91(7) & .1401(f) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff, hire date 5/1/25, had a medical report on file dated 5/6/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/1/25, had a TB test/screening on file dated 5/9/25. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff did not update the Health Questionnaire annually. .0701(a) 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. Two (2) staff did not update the Emergency Information annually. One (1) staff did not include the choice of health care professional on the Emergency information form. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) staff, hire date 5/1/25, had a Criminal Background Check letter on file dated 5/6/25. G.S. 110-90.2(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 5/1/25, completed orientation training for the topics required to be covered within the first two (2) weeks of employment on 7/3/25. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted on 8/20/25. .0604(u);.0302(d)(8) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with asthma and food allergy did not have a Medical Action Plan on file. .0801(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 5/1/25, did not sign the acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. .0608(d)(1-4) Technical assistance was provided as follows: Item # 103: The children present at the facility must be within the capacity listed on your license. We discussed, you were issued a license with the capacity of twenty (20) children because that is what was requested on the original application, completed on 2/1/22. We discussed that the space capacity and building inspection allow for more children. The building inspection states a capacity of thirty (30) children due to plumbing. The enhanced space capacity of classroom space 1 is twelve (12) children at thirty (30) square feet per child. The enhanced space capacity of classroom space 2 is twenty-one (21) children at thirty (30) square feet per child. The enhanced space capacity of the playground is twenty-two (22) children at one hundred (100) square feet per child. I recommend requesting a capacity increase to twenty-two (22) children if you would like both classrooms to be on the playground at the same time. You can request a higher capacity if each group will use the playground at different times. To request a change in capacity, send me a request on letter head. Include the old capacity as well as the capacity you would like to have on your license. Plan to send me this request on or before 2/4/26. Please note, the children present remain within your current capacity of twenty (20) children until you receive the license with the new capacity. A return visit will be made to ensure the children present is within the licensed capacity. In your letter of compliance, include a statement that indicates how you will ensure the number of children present at any given time is within the licensed capacity. Item #1032 and #1033: Staff must have a medical report on file prior to employment and a TB test/screening on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1034 and #1035: The Health Questionnaire and Emergency Information forms were updated for staff during the visit. This is corrected. Item #1041: Staff must have a Criminal Background Check qualifying letter on file prior to employment. In your letter of compliance, include a statement that indicates how you will ensure staff complete this requirement, prior to employment. Item #1067: Staff must complete orientation training topics as outlined in rule .1101(a). In your letter of compliance, include a statement that indicates how you will ensure orientation training topics are completed in the required timeline. Item #1811: A lockdown drill was conducted during the visit today. This is corrected. Moving forward, plan to set a calendar reminder to ensure you are conducting lockdown drills and shelter-in-place drills every three (3) months. Item #1834: One (1) child with asthma and food allergy did not have a Medical Action Plan on file. To reach compliance with this item, the parent must complete a Medical Action Plan for both asthma and food allergies. These forms can be located on the Division’s website under the Provider tab>Provider Documents and Forms. Item #1874: The staff member signed the acknowledgement during the visit today. This is corrected. Moving forward, plan to screen all documents completed by staff to ensure they are completed correctly. Achieving Compliance: A follow-up visit will be conducted to verify compliance that the children present are within the licensed capacity. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 2/4/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review lockdown procedures with the staff and children in classroom space 1. The lockdown drill occurred during a transition today. Plan to review procedures during a transition to ensure staff and children are confident with safety procedures at all times of the day. The Criminal Background Check qualifying letter for staff A. Moore will expire 3/18/26. Ms. Moore can begin the process now to complete the background check. As a reminder, staff will need the provider code when completing the application to ensure the new letter is linked to your facility. As a reminder, plan to conduct the fire drill and playground inspection on or before 1/30/26. Due to inclement weather, some closures next week may be possible. I recommend conducting these monthly drills/inspections this week. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 8/20/2025 Number Present: 4 Completed Date: 8/20/2025 Age: From 3 To 5 Total Minutes: 90 Time In: 09:30 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during 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 Leondra McDay, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. McDay 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, CPR / First Aid, special training, CBC qualification, ITS – SIDS, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 8/18/25. The last fire drill was practiced on 7/16/25. The last emergency drill, lockdown drill, was practiced on 3/22/25. The last fire inspection was approved on 7/3/24. The program’s most recent sanitation inspection was completed on 9/10/24, with five (5) 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. Upon arrival I was greeted by Ms. McDay. Children in classroom space 1 were observed engaged in child-led art projects including water color painting and drawing with markers. Classroom space 2 was closed today. Children from classroom space 2 have been transitioned out of the facility into Kindergarten and will enroll children from classroom space 1 and additional children next week. 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 cited during the visit today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 7/3/24. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 3/22/25. .0604(u);.0302(d)(8) Technical Assistance provided as follows: Item #106 During the visit, you contacted the church’s facilities manager and you are working with them and the fire marshal’s office to receive the inspection report on the child care form. When you receive the completed form, please scan and send to me via email. If the form is hand written, you will also need to send me the original copy via mail at the PO box below. Item #1811 A lockdown drill was conducted during the visit today and documented on the drill log. Children and staff exhibited knowledge of the procedures required for the drill. This is corrected. Moving forward, plan to set a calendar reminder to ensure shelter-in-place or lockdown drills are conducted every three (3) months per rule .0604(u). Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Please note, at least one (1) staff must be linked to your facility in the ABCMS portal during your next regular monitoring visit. If this is not completed, a violation may be cited. We discussed there are multiple sites for this program and there are various caregivers and support staff that float between each site. I recommend focusing on linking yourself and staff assigned to this location first. Once that has been completed, you can work with the other Administrators to determine how to link support staff and extra caregivers to the appropriate facilities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 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: 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

G.S. 110-90 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 8/20/2025 Number Present: 4 Completed Date: 8/20/2025 Age: From 3 To 5 Total Minutes: 90 Time In: 09:30 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during 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 Leondra McDay, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. McDay 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, CPR / First Aid, special training, CBC qualification, ITS – SIDS, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 8/18/25. The last fire drill was practiced on 7/16/25. The last emergency drill, lockdown drill, was practiced on 3/22/25. The last fire inspection was approved on 7/3/24. The program’s most recent sanitation inspection was completed on 9/10/24, with five (5) 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. Upon arrival I was greeted by Ms. McDay. Children in classroom space 1 were observed engaged in child-led art projects including water color painting and drawing with markers. Classroom space 2 was closed today. Children from classroom space 2 have been transitioned out of the facility into Kindergarten and will enroll children from classroom space 1 and additional children next week. 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 cited during the visit today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 7/3/24. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 3/22/25. .0604(u);.0302(d)(8) Technical Assistance provided as follows: Item #106 During the visit, you contacted the church’s facilities manager and you are working with them and the fire marshal’s office to receive the inspection report on the child care form. When you receive the completed form, please scan and send to me via email. If the form is hand written, you will also need to send me the original copy via mail at the PO box below. Item #1811 A lockdown drill was conducted during the visit today and documented on the drill log. Children and staff exhibited knowledge of the procedures required for the drill. This is corrected. Moving forward, plan to set a calendar reminder to ensure shelter-in-place or lockdown drills are conducted every three (3) months per rule .0604(u). Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Please note, at least one (1) staff must be linked to your facility in the ABCMS portal during your next regular monitoring visit. If this is not completed, a violation may be cited. We discussed there are multiple sites for this program and there are various caregivers and support staff that float between each site. I recommend focusing on linking yourself and staff assigned to this location first. Once that has been completed, you can work with the other Administrators to determine how to link support staff and extra caregivers to the appropriate facilities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 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: 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: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 8/20/2025 Number Present: 4 Completed Date: 8/20/2025 Age: From 3 To 5 Total Minutes: 90 Time In: 09:30 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during 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 Leondra McDay, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. McDay 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, CPR / First Aid, special training, CBC qualification, ITS – SIDS, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 8/18/25. The last fire drill was practiced on 7/16/25. The last emergency drill, lockdown drill, was practiced on 3/22/25. The last fire inspection was approved on 7/3/24. The program’s most recent sanitation inspection was completed on 9/10/24, with five (5) 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. Upon arrival I was greeted by Ms. McDay. Children in classroom space 1 were observed engaged in child-led art projects including water color painting and drawing with markers. Classroom space 2 was closed today. Children from classroom space 2 have been transitioned out of the facility into Kindergarten and will enroll children from classroom space 1 and additional children next week. 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 cited during the visit today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 7/3/24. 10A NCAC 09 .0304(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 3/22/25. .0604(u);.0302(d)(8) Technical Assistance provided as follows: Item #106 During the visit, you contacted the church’s facilities manager and you are working with them and the fire marshal’s office to receive the inspection report on the child care form. When you receive the completed form, please scan and send to me via email. If the form is hand written, you will also need to send me the original copy via mail at the PO box below. Item #1811 A lockdown drill was conducted during the visit today and documented on the drill log. Children and staff exhibited knowledge of the procedures required for the drill. This is corrected. Moving forward, plan to set a calendar reminder to ensure shelter-in-place or lockdown drills are conducted every three (3) months per rule .0604(u). Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Please note, at least one (1) staff must be linked to your facility in the ABCMS portal during your next regular monitoring visit. If this is not completed, a violation may be cited. We discussed there are multiple sites for this program and there are various caregivers and support staff that float between each site. I recommend focusing on linking yourself and staff assigned to this location first. Once that has been completed, you can work with the other Administrators to determine how to link support staff and extra caregivers to the appropriate facilities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 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: 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: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/14/2025 Number Present: 16 Completed Date: 2/14/2025 Age: From 3 To 5 Total Minutes: 75 Time In: 09:15 AM Time Out: 10:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Annual Compliance follow-up 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 Leondra McDay, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including general safety, staff/child ratio, permit restrictions, capacity, equipment, and supervision. During the Annual Compliance visit on 1/30/25, one (1) violation regarding equipment was cited. Per procedures, a follow-up visit must be made any time the letter of compliance is not received within the fourteen (14) day timeline or if compliance is unclear or incomplete. The compliance letter included information that the playground company had been contacted but did not include information regarding a date the work would be complete or temporary compliance solution. Upon arrival, I was greeted by Kavi Zuniga, Teacher. Ms. McDay, Administrator, and Ciana Morton, Managing Director, arrived at approximately 9:40am. A repeat violation was cited today. 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 today: Violation Number Comment Rule 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. An anchored spring rocker was installed within three (3) feet of the fence and within five (5) feet of a tree. .0605(l)(1-2) Technical Assistance provided as follows: Item #717 The spring rocker must be moved to a location that allows for a six (6) foot fall zone around the structure. We discussed the playground company who installed the equipment incorrectly has been contacted. During the visit on 1/30/25, Ms. McDay contacted the company to confirm the manufacturer’s instructions for the rocker required a six (6) foot fall zone. The company confirmed that the rocker does require a six (6) foot fall zone. The playground company is not responding to requests for removal. Plan to document communication with the company and submit to me with your letter of compliance if communication issues persist. I am happy to provide a statement explaining the requirements to the company, if needed. Please include the following in your letter of compliance by 2/28/25: -A request for an extension to the new date that the rocker will be removed and relocated AND -A plan of temporary compliance that includes blocking off the structure physically (with cones and/or caution tape) and adult supervision to ensure children do not use the rocker OR -A statement that the rocker has been moved to an area with appropriate fall zones according to rule .0605(l)(1-2) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: 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: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 19 Completed Date: 1/30/2025 Age: From 3 To 5 Total Minutes: 232 Time In: 10:08 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present to ask and answer questions during 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-four percent (94%) as of 1/28/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active as of 1/28/25. Permit type – Four (4) star license issued 8/21/23 Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, no cooking allowed, no children under 2.5 years old. Licensed capacity 20. The last annual compliance visit was conducted on 2/8/24. The last fire drill was practiced on 1/28/25. The last shelter-in-place drill was practiced on 12/17/24. The last playground inspection was documented on 1/24/25. The last fire inspection was approved on 7/3/24. The last sanitation inspection was conducted on 9/10/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility is approved to provide transportation and field trips. Vehicles for The Christine Avery Learning Center, Inc. facilities were monitored on 12/10/24. Currently, transportation is only used for field trips. Upon arrival, I was greeted by Kavi Zuniga, Teacher Aide. Ms. McDay arrived at approximately 10:30am. In classroom space 1, children were practicing letter sounds, participating in a teacher-led art activity using paint pens to stamp heart shapes, cutting various shapes in playdoh with cookie cutters and pretending to be doctors in dramatic play. In classroom space 2, children were engaged in fine motor exercises, using tweezers to move various objects, sorted bug figurines by attribute and discussed with caregivers, participated in a teacher-led collage project, and pretended to be hairdressers in dramatic play. Interactions were positive and nurturing. Teachers asked open ended questions about child’s play and were actively engaged in activities with the children. 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 documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for two (2) children was not documented in classroom space 2. 10A NCAC 09 .0302(d)(4) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. An anchored spring rocker was installed within three (3) feet of the fence and within five (5) feet of a tree. .0605(l)(1-2) Technical assistance was provided as follows: Item #125 Sign In Sheet: The missed arrival times were corrected during the visit. As a reminder, staff must sign children in if parents forget. You can used the paper sign-in/out sheet or Brightwheel to sign them in electronically. Item #717 Fall Zone: Plan to move the spring rocker so that the fall zone extends six (6) feet beyond the external limits of the equipment. The company that installed was contacted during the visit today. The representative that you spoke to confirmed that the equipment manufacturer’s instructions state to install the rocker with a six (6) foot fall zone. Plan to contact the company to request re-installation with the appropriate fall zone. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Licensed Capacity: As a reminder, your licensed capacity is twenty (20) children for this site. We discussed that some children had to be moved as your site in Swannanoa was damaged in Tropical Storm Helene. Ensure that your licensed capacity is not exceeded on a given day. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that your facility is listed under an address for a previous facility owned by your corporation. Plan to contact Clean Classrooms for Carolina Kids to ensure the information is updated in the system to reflect the correct address and facility name. We discussed the lead in water testing as been completed. Lead in paint and asbestos testing is still needed. Plan to enroll your facility in these testing programs by 5/31/25 in order to be eligible for funding if abatement is needed. We discussed, your lead in water test will be due again on 5/16/25. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 19 Completed Date: 1/30/2025 Age: From 3 To 5 Total Minutes: 232 Time In: 10:08 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present to ask and answer questions during 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-four percent (94%) as of 1/28/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active as of 1/28/25. Permit type – Four (4) star license issued 8/21/23 Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, no cooking allowed, no children under 2.5 years old. Licensed capacity 20. The last annual compliance visit was conducted on 2/8/24. The last fire drill was practiced on 1/28/25. The last shelter-in-place drill was practiced on 12/17/24. The last playground inspection was documented on 1/24/25. The last fire inspection was approved on 7/3/24. The last sanitation inspection was conducted on 9/10/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility is approved to provide transportation and field trips. Vehicles for The Christine Avery Learning Center, Inc. facilities were monitored on 12/10/24. Currently, transportation is only used for field trips. Upon arrival, I was greeted by Kavi Zuniga, Teacher Aide. Ms. McDay arrived at approximately 10:30am. In classroom space 1, children were practicing letter sounds, participating in a teacher-led art activity using paint pens to stamp heart shapes, cutting various shapes in playdoh with cookie cutters and pretending to be doctors in dramatic play. In classroom space 2, children were engaged in fine motor exercises, using tweezers to move various objects, sorted bug figurines by attribute and discussed with caregivers, participated in a teacher-led collage project, and pretended to be hairdressers in dramatic play. Interactions were positive and nurturing. Teachers asked open ended questions about child’s play and were actively engaged in activities with the children. 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 documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for two (2) children was not documented in classroom space 2. 10A NCAC 09 .0302(d)(4) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. An anchored spring rocker was installed within three (3) feet of the fence and within five (5) feet of a tree. .0605(l)(1-2) Technical assistance was provided as follows: Item #125 Sign In Sheet: The missed arrival times were corrected during the visit. As a reminder, staff must sign children in if parents forget. You can used the paper sign-in/out sheet or Brightwheel to sign them in electronically. Item #717 Fall Zone: Plan to move the spring rocker so that the fall zone extends six (6) feet beyond the external limits of the equipment. The company that installed was contacted during the visit today. The representative that you spoke to confirmed that the equipment manufacturer’s instructions state to install the rocker with a six (6) foot fall zone. Plan to contact the company to request re-installation with the appropriate fall zone. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Licensed Capacity: As a reminder, your licensed capacity is twenty (20) children for this site. We discussed that some children had to be moved as your site in Swannanoa was damaged in Tropical Storm Helene. Ensure that your licensed capacity is not exceeded on a given day. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that your facility is listed under an address for a previous facility owned by your corporation. Plan to contact Clean Classrooms for Carolina Kids to ensure the information is updated in the system to reflect the correct address and facility name. We discussed the lead in water testing as been completed. Lead in paint and asbestos testing is still needed. Plan to enroll your facility in these testing programs by 5/31/25 in order to be eligible for funding if abatement is needed. We discussed, your lead in water test will be due again on 5/16/25. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 19 Completed Date: 1/30/2025 Age: From 3 To 5 Total Minutes: 232 Time In: 10:08 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present to ask and answer questions during 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-four percent (94%) as of 1/28/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active as of 1/28/25. Permit type – Four (4) star license issued 8/21/23 Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, no cooking allowed, no children under 2.5 years old. Licensed capacity 20. The last annual compliance visit was conducted on 2/8/24. The last fire drill was practiced on 1/28/25. The last shelter-in-place drill was practiced on 12/17/24. The last playground inspection was documented on 1/24/25. The last fire inspection was approved on 7/3/24. The last sanitation inspection was conducted on 9/10/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility is approved to provide transportation and field trips. Vehicles for The Christine Avery Learning Center, Inc. facilities were monitored on 12/10/24. Currently, transportation is only used for field trips. Upon arrival, I was greeted by Kavi Zuniga, Teacher Aide. Ms. McDay arrived at approximately 10:30am. In classroom space 1, children were practicing letter sounds, participating in a teacher-led art activity using paint pens to stamp heart shapes, cutting various shapes in playdoh with cookie cutters and pretending to be doctors in dramatic play. In classroom space 2, children were engaged in fine motor exercises, using tweezers to move various objects, sorted bug figurines by attribute and discussed with caregivers, participated in a teacher-led collage project, and pretended to be hairdressers in dramatic play. Interactions were positive and nurturing. Teachers asked open ended questions about child’s play and were actively engaged in activities with the children. 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 documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for two (2) children was not documented in classroom space 2. 10A NCAC 09 .0302(d)(4) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. An anchored spring rocker was installed within three (3) feet of the fence and within five (5) feet of a tree. .0605(l)(1-2) Technical assistance was provided as follows: Item #125 Sign In Sheet: The missed arrival times were corrected during the visit. As a reminder, staff must sign children in if parents forget. You can used the paper sign-in/out sheet or Brightwheel to sign them in electronically. Item #717 Fall Zone: Plan to move the spring rocker so that the fall zone extends six (6) feet beyond the external limits of the equipment. The company that installed was contacted during the visit today. The representative that you spoke to confirmed that the equipment manufacturer’s instructions state to install the rocker with a six (6) foot fall zone. Plan to contact the company to request re-installation with the appropriate fall zone. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Licensed Capacity: As a reminder, your licensed capacity is twenty (20) children for this site. We discussed that some children had to be moved as your site in Swannanoa was damaged in Tropical Storm Helene. Ensure that your licensed capacity is not exceeded on a given day. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that your facility is listed under an address for a previous facility owned by your corporation. Plan to contact Clean Classrooms for Carolina Kids to ensure the information is updated in the system to reflect the correct address and facility name. We discussed the lead in water testing as been completed. Lead in paint and asbestos testing is still needed. Plan to enroll your facility in these testing programs by 5/31/25 in order to be eligible for funding if abatement is needed. We discussed, your lead in water test will be due again on 5/16/25. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 19 Completed Date: 1/30/2025 Age: From 3 To 5 Total Minutes: 232 Time In: 10:08 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present to ask and answer questions during 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-four percent (94%) as of 1/28/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active as of 1/28/25. Permit type – Four (4) star license issued 8/21/23 Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, no cooking allowed, no children under 2.5 years old. Licensed capacity 20. The last annual compliance visit was conducted on 2/8/24. The last fire drill was practiced on 1/28/25. The last shelter-in-place drill was practiced on 12/17/24. The last playground inspection was documented on 1/24/25. The last fire inspection was approved on 7/3/24. The last sanitation inspection was conducted on 9/10/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility is approved to provide transportation and field trips. Vehicles for The Christine Avery Learning Center, Inc. facilities were monitored on 12/10/24. Currently, transportation is only used for field trips. Upon arrival, I was greeted by Kavi Zuniga, Teacher Aide. Ms. McDay arrived at approximately 10:30am. In classroom space 1, children were practicing letter sounds, participating in a teacher-led art activity using paint pens to stamp heart shapes, cutting various shapes in playdoh with cookie cutters and pretending to be doctors in dramatic play. In classroom space 2, children were engaged in fine motor exercises, using tweezers to move various objects, sorted bug figurines by attribute and discussed with caregivers, participated in a teacher-led collage project, and pretended to be hairdressers in dramatic play. Interactions were positive and nurturing. Teachers asked open ended questions about child’s play and were actively engaged in activities with the children. 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 documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for two (2) children was not documented in classroom space 2. 10A NCAC 09 .0302(d)(4) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. An anchored spring rocker was installed within three (3) feet of the fence and within five (5) feet of a tree. .0605(l)(1-2) Technical assistance was provided as follows: Item #125 Sign In Sheet: The missed arrival times were corrected during the visit. As a reminder, staff must sign children in if parents forget. You can used the paper sign-in/out sheet or Brightwheel to sign them in electronically. Item #717 Fall Zone: Plan to move the spring rocker so that the fall zone extends six (6) feet beyond the external limits of the equipment. The company that installed was contacted during the visit today. The representative that you spoke to confirmed that the equipment manufacturer’s instructions state to install the rocker with a six (6) foot fall zone. Plan to contact the company to request re-installation with the appropriate fall zone. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Licensed Capacity: As a reminder, your licensed capacity is twenty (20) children for this site. We discussed that some children had to be moved as your site in Swannanoa was damaged in Tropical Storm Helene. Ensure that your licensed capacity is not exceeded on a given day. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that your facility is listed under an address for a previous facility owned by your corporation. Plan to contact Clean Classrooms for Carolina Kids to ensure the information is updated in the system to reflect the correct address and facility name. We discussed the lead in water testing as been completed. Lead in paint and asbestos testing is still needed. Plan to enroll your facility in these testing programs by 5/31/25 in order to be eligible for funding if abatement is needed. We discussed, your lead in water test will be due again on 5/16/25. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 19 Completed Date: 1/30/2025 Age: From 3 To 5 Total Minutes: 232 Time In: 10:08 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present to ask and answer questions during 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-four percent (94%) as of 1/28/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active as of 1/28/25. Permit type – Four (4) star license issued 8/21/23 Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, no cooking allowed, no children under 2.5 years old. Licensed capacity 20. The last annual compliance visit was conducted on 2/8/24. The last fire drill was practiced on 1/28/25. The last shelter-in-place drill was practiced on 12/17/24. The last playground inspection was documented on 1/24/25. The last fire inspection was approved on 7/3/24. The last sanitation inspection was conducted on 9/10/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility is approved to provide transportation and field trips. Vehicles for The Christine Avery Learning Center, Inc. facilities were monitored on 12/10/24. Currently, transportation is only used for field trips. Upon arrival, I was greeted by Kavi Zuniga, Teacher Aide. Ms. McDay arrived at approximately 10:30am. In classroom space 1, children were practicing letter sounds, participating in a teacher-led art activity using paint pens to stamp heart shapes, cutting various shapes in playdoh with cookie cutters and pretending to be doctors in dramatic play. In classroom space 2, children were engaged in fine motor exercises, using tweezers to move various objects, sorted bug figurines by attribute and discussed with caregivers, participated in a teacher-led collage project, and pretended to be hairdressers in dramatic play. Interactions were positive and nurturing. Teachers asked open ended questions about child’s play and were actively engaged in activities with the children. 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 documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for two (2) children was not documented in classroom space 2. 10A NCAC 09 .0302(d)(4) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. An anchored spring rocker was installed within three (3) feet of the fence and within five (5) feet of a tree. .0605(l)(1-2) Technical assistance was provided as follows: Item #125 Sign In Sheet: The missed arrival times were corrected during the visit. As a reminder, staff must sign children in if parents forget. You can used the paper sign-in/out sheet or Brightwheel to sign them in electronically. Item #717 Fall Zone: Plan to move the spring rocker so that the fall zone extends six (6) feet beyond the external limits of the equipment. The company that installed was contacted during the visit today. The representative that you spoke to confirmed that the equipment manufacturer’s instructions state to install the rocker with a six (6) foot fall zone. Plan to contact the company to request re-installation with the appropriate fall zone. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Licensed Capacity: As a reminder, your licensed capacity is twenty (20) children for this site. We discussed that some children had to be moved as your site in Swannanoa was damaged in Tropical Storm Helene. Ensure that your licensed capacity is not exceeded on a given day. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that your facility is listed under an address for a previous facility owned by your corporation. Plan to contact Clean Classrooms for Carolina Kids to ensure the information is updated in the system to reflect the correct address and facility name. We discussed the lead in water testing as been completed. Lead in paint and asbestos testing is still needed. Plan to enroll your facility in these testing programs by 5/31/25 in order to be eligible for funding if abatement is needed. We discussed, your lead in water test will be due again on 5/16/25. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 19 Completed Date: 1/30/2025 Age: From 3 To 5 Total Minutes: 232 Time In: 10:08 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator during the visit. A signed copy of the visit summary was emailed to you. Ms. McDay was present to ask and answer questions during 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-four percent (94%) as of 1/28/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active as of 1/28/25. Permit type – Four (4) star license issued 8/21/23 Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, no cooking allowed, no children under 2.5 years old. Licensed capacity 20. The last annual compliance visit was conducted on 2/8/24. The last fire drill was practiced on 1/28/25. The last shelter-in-place drill was practiced on 12/17/24. The last playground inspection was documented on 1/24/25. The last fire inspection was approved on 7/3/24. The last sanitation inspection was conducted on 9/10/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility is approved to provide transportation and field trips. Vehicles for The Christine Avery Learning Center, Inc. facilities were monitored on 12/10/24. Currently, transportation is only used for field trips. Upon arrival, I was greeted by Kavi Zuniga, Teacher Aide. Ms. McDay arrived at approximately 10:30am. In classroom space 1, children were practicing letter sounds, participating in a teacher-led art activity using paint pens to stamp heart shapes, cutting various shapes in playdoh with cookie cutters and pretending to be doctors in dramatic play. In classroom space 2, children were engaged in fine motor exercises, using tweezers to move various objects, sorted bug figurines by attribute and discussed with caregivers, participated in a teacher-led collage project, and pretended to be hairdressers in dramatic play. Interactions were positive and nurturing. Teachers asked open ended questions about child’s play and were actively engaged in activities with the children. 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 documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time for two (2) children was not documented in classroom space 2. 10A NCAC 09 .0302(d)(4) 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. An anchored spring rocker was installed within three (3) feet of the fence and within five (5) feet of a tree. .0605(l)(1-2) Technical assistance was provided as follows: Item #125 Sign In Sheet: The missed arrival times were corrected during the visit. As a reminder, staff must sign children in if parents forget. You can used the paper sign-in/out sheet or Brightwheel to sign them in electronically. Item #717 Fall Zone: Plan to move the spring rocker so that the fall zone extends six (6) feet beyond the external limits of the equipment. The company that installed was contacted during the visit today. The representative that you spoke to confirmed that the equipment manufacturer’s instructions state to install the rocker with a six (6) foot fall zone. Plan to contact the company to request re-installation with the appropriate fall zone. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Licensed Capacity: As a reminder, your licensed capacity is twenty (20) children for this site. We discussed that some children had to be moved as your site in Swannanoa was damaged in Tropical Storm Helene. Ensure that your licensed capacity is not exceeded on a given day. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. We discussed that your facility is listed under an address for a previous facility owned by your corporation. Plan to contact Clean Classrooms for Carolina Kids to ensure the information is updated in the system to reflect the correct address and facility name. We discussed the lead in water testing as been completed. Lead in paint and asbestos testing is still needed. Plan to enroll your facility in these testing programs by 5/31/25 in order to be eligible for funding if abatement is needed. We discussed, your lead in water test will be due again on 5/16/25. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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.” Recognizing and Responding to Suspicions of Child Maltreatment: 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. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 8/5/2024 Number Present: 11 Completed Date: 8/5/2024 Age: From 3 To 5 Total Minutes: 90 Time In: 10:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Unannounced follow-up 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 Jasmine Bright, Chief Impact Officer, during the visit. A signed copy of the visit summary was emailed to you. Ms. Bright was present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including staff/child ratios, permit restrictions, capacity, supervision, and staff records. During the Routine Unannounced visit on 7/18/24, three (3) violations regarding staff records, transportation and program records were cited. Per procedures, a follow-up visit must be made any time the letter of compliance is not received within the fourteen (14) day timeline or if compliance is unclear or incomplete. A letter of compliance was received on 8/2/24. The letter did not include a completed compliance action for item #1033. The statement did not indicate whether the volunteer received a TB test or screening. Upon arrival, I was greeted by Juanita Mitchener, Lead Teacher. Children in classroom space 1 were painting, toileting and building small structures with interlocking blocks. There were five (5) children ages three to four years old with one (1) caregiver and one (1) volunteer present. Children from classroom space 2 were playing on the playground, exploring bubbles and playing basketball. There were six (6) children ages four to five years old present with one (1) caregiver and one (1) volunteer. There was one (1) visitor present through the “Literacy Together” program. Children, volunteers, and visitors were actively supervised by qualified staff at all times. We discussed all violations cited from the Routine Unannounced visit on 7/18/24. Please see below: Item #106: Compliance regarding this item was documented in the letter of compliance received on 8/2/24. This has been corrected. Item #1033: A TB test was not on file for the one (1) volunteer. A repeat violation was cited today. Item #1125: Compliance regarding this item was documented in the letter of compliance received on 8/2/24. This has been corrected. 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 violation was documented today: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) volunteer did not have a TB test or screening on file. .0701(a) Technical Assistance provided as follows: Item #1033 The one (1) volunteer (Counselor in Training) must obtain a TB test or screening immediately. Plan to maintain this TB test or screening in a confidential, medical file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/19/24. 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: We discussed that all individuals who volunteer more than once per week must have a TB test or screening on file prior to their start date. This includes individuals who are thirteen (13) years old or older. The TB test or screening form from the Division’s website is attached to the email containing this visit summary. Volunteers and staff can utilize various health care resources to complete this screening including pharmacy minute clinics, their primary health care physician, urgent care clinics and the Buncombe County Health Department. The TB test or screening must be completed by a health care professional. We discussed that the volunteers may leave the facility prior to the compliance due date as they are only present during the summer. Please indicate this in your letter of compliance if the volunteer staff depart prior to your compliance due date of 8/19/24. 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: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 8/5/2024 Number Present: 11 Completed Date: 8/5/2024 Age: From 3 To 5 Total Minutes: 90 Time In: 10:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Unannounced follow-up 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 Jasmine Bright, Chief Impact Officer, during the visit. A signed copy of the visit summary was emailed to you. Ms. Bright was present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including staff/child ratios, permit restrictions, capacity, supervision, and staff records. During the Routine Unannounced visit on 7/18/24, three (3) violations regarding staff records, transportation and program records were cited. Per procedures, a follow-up visit must be made any time the letter of compliance is not received within the fourteen (14) day timeline or if compliance is unclear or incomplete. A letter of compliance was received on 8/2/24. The letter did not include a completed compliance action for item #1033. The statement did not indicate whether the volunteer received a TB test or screening. Upon arrival, I was greeted by Juanita Mitchener, Lead Teacher. Children in classroom space 1 were painting, toileting and building small structures with interlocking blocks. There were five (5) children ages three to four years old with one (1) caregiver and one (1) volunteer present. Children from classroom space 2 were playing on the playground, exploring bubbles and playing basketball. There were six (6) children ages four to five years old present with one (1) caregiver and one (1) volunteer. There was one (1) visitor present through the “Literacy Together” program. Children, volunteers, and visitors were actively supervised by qualified staff at all times. We discussed all violations cited from the Routine Unannounced visit on 7/18/24. Please see below: Item #106: Compliance regarding this item was documented in the letter of compliance received on 8/2/24. This has been corrected. Item #1033: A TB test was not on file for the one (1) volunteer. A repeat violation was cited today. Item #1125: Compliance regarding this item was documented in the letter of compliance received on 8/2/24. This has been corrected. 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 violation was documented today: Violation Number Comment Rule 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) volunteer did not have a TB test or screening on file. .0701(a) Technical Assistance provided as follows: Item #1033 The one (1) volunteer (Counselor in Training) must obtain a TB test or screening immediately. Plan to maintain this TB test or screening in a confidential, medical file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/19/24. 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: We discussed that all individuals who volunteer more than once per week must have a TB test or screening on file prior to their start date. This includes individuals who are thirteen (13) years old or older. The TB test or screening form from the Division’s website is attached to the email containing this visit summary. Volunteers and staff can utilize various health care resources to complete this screening including pharmacy minute clinics, their primary health care physician, urgent care clinics and the Buncombe County Health Department. The TB test or screening must be completed by a health care professional. We discussed that the volunteers may leave the facility prior to the compliance due date as they are only present during the summer. Please indicate this in your letter of compliance if the volunteer staff depart prior to your compliance due date of 8/19/24. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 7/18/2024 Number Present: 15 Completed Date: 7/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. McDay 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, CPR / First Aid, special training, CBC qualification, ITS – SIDS, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 7/17/24. The last fire drill was practiced on 7/2/24. The last emergency drill, lockdown drill, was practiced on 5/16/24. The last fire inspection was approved on 7/3/24. The program’s most recent sanitation inspection was completed on 8/8/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was updated during the visit today. Upon arrival I was greeted by Lala Williams-Wilson, Volunteer. Ms. McDay arrived to the facility at approximately 10:30am. Children in classroom space 1 were preparing to go outside for water activities. Once outside, children explored bins of water with various toys, funnels, scoops and tools. Teachers blew bubbles for the children to explore. Children were also observed bouncing on large inflatable bouncers, kicking and throwing balls of various sizes and running to pop bubbles. Interactions were positive and nurturing. Children were actively supervised at all times. Children from classroom space 2 were on a field trip to the local nature center when I first arrived. We discussed that this facility was not previously approved to provide field trips and transportation. The other location for this program is approved to provide these services. Off-premise activity requirements were reviewed with Ms. McDay during the visit today. The field trip roster, posted off-premise activity schedule, list of children participating in the activity and permissions were observed today. The bus arrived at approximately 12:00pm to deliver children to the facility. Monitoring of transportation requirements was conducted today. A current driver’s license, registration, insurance, and inspection was provided today. A walk through of the vehicle was conducted today. The vehicle contained a fire extinguisher and first aid kit. Ratios were maintained while children were transported. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current fire inspection was approved on 7/3/24. The previous fire inspection was approved on 4/4/23. The fire inspection approved on 7/3/24 was not submitted to the Division within one (1) week of the inspection date. 10A NCAC 09 .0304(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) volunteer, hire date 6/20/24. Did not have a TB test or screening on file .0701(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The written permission to transport children did not include where the child was being transported or expected time of arrival and departure. .1003(i)(j) Technical Assistance provided as follows: Item #106 We discussed contacting the fire marshal two to three months prior to the due date of the current fire inspection. As a reminder, the next fire inspection must be approved no later than 7/3/25. Plan to send the fire inspection report to me within one week from the date of the inspection. If it is a hand written copy, plan to mail it to me as I will need the original for your facility’s master file. In your letter of compliance, provide a statement that indicates how you will ensure the fire inspection is conducted within twelve (12) months of the center’s previous inspection. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Item #1033 The one (1) volunteer (Counselor in Training) must obtain a TB test or screening immediately. Plan to maintain this TB test or screening in a confidential, medical file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1125 In your letter of compliance, provide a statement that indicates how you will ensure this information is captured on the permission to transport, moving forward. 10A NCAC 09 .1003 SAFE PROCEDURES (i) Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Technical Assistance provided as follows: 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 8/1/24. 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: Moving forward, plan to include the reason for the off-premise activity on the posted schedule. Plan to review the updated Emergency Medical Care Plan with staff. Plan to maintain a signed acknowledgement from staff that the plan has been reviewed with them in their staff file. 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: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 7/18/2024 Number Present: 15 Completed Date: 7/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. McDay 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, CPR / First Aid, special training, CBC qualification, ITS – SIDS, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 7/17/24. The last fire drill was practiced on 7/2/24. The last emergency drill, lockdown drill, was practiced on 5/16/24. The last fire inspection was approved on 7/3/24. The program’s most recent sanitation inspection was completed on 8/8/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was updated during the visit today. Upon arrival I was greeted by Lala Williams-Wilson, Volunteer. Ms. McDay arrived to the facility at approximately 10:30am. Children in classroom space 1 were preparing to go outside for water activities. Once outside, children explored bins of water with various toys, funnels, scoops and tools. Teachers blew bubbles for the children to explore. Children were also observed bouncing on large inflatable bouncers, kicking and throwing balls of various sizes and running to pop bubbles. Interactions were positive and nurturing. Children were actively supervised at all times. Children from classroom space 2 were on a field trip to the local nature center when I first arrived. We discussed that this facility was not previously approved to provide field trips and transportation. The other location for this program is approved to provide these services. Off-premise activity requirements were reviewed with Ms. McDay during the visit today. The field trip roster, posted off-premise activity schedule, list of children participating in the activity and permissions were observed today. The bus arrived at approximately 12:00pm to deliver children to the facility. Monitoring of transportation requirements was conducted today. A current driver’s license, registration, insurance, and inspection was provided today. A walk through of the vehicle was conducted today. The vehicle contained a fire extinguisher and first aid kit. Ratios were maintained while children were transported. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current fire inspection was approved on 7/3/24. The previous fire inspection was approved on 4/4/23. The fire inspection approved on 7/3/24 was not submitted to the Division within one (1) week of the inspection date. 10A NCAC 09 .0304(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) volunteer, hire date 6/20/24. Did not have a TB test or screening on file .0701(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The written permission to transport children did not include where the child was being transported or expected time of arrival and departure. .1003(i)(j) Technical Assistance provided as follows: Item #106 We discussed contacting the fire marshal two to three months prior to the due date of the current fire inspection. As a reminder, the next fire inspection must be approved no later than 7/3/25. Plan to send the fire inspection report to me within one week from the date of the inspection. If it is a hand written copy, plan to mail it to me as I will need the original for your facility’s master file. In your letter of compliance, provide a statement that indicates how you will ensure the fire inspection is conducted within twelve (12) months of the center’s previous inspection. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Item #1033 The one (1) volunteer (Counselor in Training) must obtain a TB test or screening immediately. Plan to maintain this TB test or screening in a confidential, medical file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1125 In your letter of compliance, provide a statement that indicates how you will ensure this information is captured on the permission to transport, moving forward. 10A NCAC 09 .1003 SAFE PROCEDURES (i) Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Technical Assistance provided as follows: 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 8/1/24. 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: Moving forward, plan to include the reason for the off-premise activity on the posted schedule. Plan to review the updated Emergency Medical Care Plan with staff. Plan to maintain a signed acknowledgement from staff that the plan has been reviewed with them in their staff file. 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 .1003 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 7/18/2024 Number Present: 15 Completed Date: 7/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. McDay 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, CPR / First Aid, special training, CBC qualification, ITS – SIDS, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 7/17/24. The last fire drill was practiced on 7/2/24. The last emergency drill, lockdown drill, was practiced on 5/16/24. The last fire inspection was approved on 7/3/24. The program’s most recent sanitation inspection was completed on 8/8/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was updated during the visit today. Upon arrival I was greeted by Lala Williams-Wilson, Volunteer. Ms. McDay arrived to the facility at approximately 10:30am. Children in classroom space 1 were preparing to go outside for water activities. Once outside, children explored bins of water with various toys, funnels, scoops and tools. Teachers blew bubbles for the children to explore. Children were also observed bouncing on large inflatable bouncers, kicking and throwing balls of various sizes and running to pop bubbles. Interactions were positive and nurturing. Children were actively supervised at all times. Children from classroom space 2 were on a field trip to the local nature center when I first arrived. We discussed that this facility was not previously approved to provide field trips and transportation. The other location for this program is approved to provide these services. Off-premise activity requirements were reviewed with Ms. McDay during the visit today. The field trip roster, posted off-premise activity schedule, list of children participating in the activity and permissions were observed today. The bus arrived at approximately 12:00pm to deliver children to the facility. Monitoring of transportation requirements was conducted today. A current driver’s license, registration, insurance, and inspection was provided today. A walk through of the vehicle was conducted today. The vehicle contained a fire extinguisher and first aid kit. Ratios were maintained while children were transported. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current fire inspection was approved on 7/3/24. The previous fire inspection was approved on 4/4/23. The fire inspection approved on 7/3/24 was not submitted to the Division within one (1) week of the inspection date. 10A NCAC 09 .0304(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) volunteer, hire date 6/20/24. Did not have a TB test or screening on file .0701(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The written permission to transport children did not include where the child was being transported or expected time of arrival and departure. .1003(i)(j) Technical Assistance provided as follows: Item #106 We discussed contacting the fire marshal two to three months prior to the due date of the current fire inspection. As a reminder, the next fire inspection must be approved no later than 7/3/25. Plan to send the fire inspection report to me within one week from the date of the inspection. If it is a hand written copy, plan to mail it to me as I will need the original for your facility’s master file. In your letter of compliance, provide a statement that indicates how you will ensure the fire inspection is conducted within twelve (12) months of the center’s previous inspection. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Item #1033 The one (1) volunteer (Counselor in Training) must obtain a TB test or screening immediately. Plan to maintain this TB test or screening in a confidential, medical file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1125 In your letter of compliance, provide a statement that indicates how you will ensure this information is captured on the permission to transport, moving forward. 10A NCAC 09 .1003 SAFE PROCEDURES (i) Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Technical Assistance provided as follows: 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 8/1/24. 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: Moving forward, plan to include the reason for the off-premise activity on the posted schedule. Plan to review the updated Emergency Medical Care Plan with staff. Plan to maintain a signed acknowledgement from staff that the plan has been reviewed with them in their staff file. 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: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 7/18/2024 Number Present: 15 Completed Date: 7/18/2024 Age: From 3 To 5 Total Minutes: 225 Time In: 10:15 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Leondra McDay, Administrator during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. McDay 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, CPR / First Aid, special training, CBC qualification, ITS – SIDS, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 7/17/24. The last fire drill was practiced on 7/2/24. The last emergency drill, lockdown drill, was practiced on 5/16/24. The last fire inspection was approved on 7/3/24. The program’s most recent sanitation inspection was completed on 8/8/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was updated during the visit today. Upon arrival I was greeted by Lala Williams-Wilson, Volunteer. Ms. McDay arrived to the facility at approximately 10:30am. Children in classroom space 1 were preparing to go outside for water activities. Once outside, children explored bins of water with various toys, funnels, scoops and tools. Teachers blew bubbles for the children to explore. Children were also observed bouncing on large inflatable bouncers, kicking and throwing balls of various sizes and running to pop bubbles. Interactions were positive and nurturing. Children were actively supervised at all times. Children from classroom space 2 were on a field trip to the local nature center when I first arrived. We discussed that this facility was not previously approved to provide field trips and transportation. The other location for this program is approved to provide these services. Off-premise activity requirements were reviewed with Ms. McDay during the visit today. The field trip roster, posted off-premise activity schedule, list of children participating in the activity and permissions were observed today. The bus arrived at approximately 12:00pm to deliver children to the facility. Monitoring of transportation requirements was conducted today. A current driver’s license, registration, insurance, and inspection was provided today. A walk through of the vehicle was conducted today. The vehicle contained a fire extinguisher and first aid kit. Ratios were maintained while children were transported. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The current fire inspection was approved on 7/3/24. The previous fire inspection was approved on 4/4/23. The fire inspection approved on 7/3/24 was not submitted to the Division within one (1) week of the inspection date. 10A NCAC 09 .0304(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) volunteer, hire date 6/20/24. Did not have a TB test or screening on file .0701(a) 1125 Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. The written permission to transport children did not include where the child was being transported or expected time of arrival and departure. .1003(i)(j) Technical Assistance provided as follows: Item #106 We discussed contacting the fire marshal two to three months prior to the due date of the current fire inspection. As a reminder, the next fire inspection must be approved no later than 7/3/25. Plan to send the fire inspection report to me within one week from the date of the inspection. If it is a hand written copy, plan to mail it to me as I will need the original for your facility’s master file. In your letter of compliance, provide a statement that indicates how you will ensure the fire inspection is conducted within twelve (12) months of the center’s previous inspection. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Item #1033 The one (1) volunteer (Counselor in Training) must obtain a TB test or screening immediately. Plan to maintain this TB test or screening in a confidential, medical file. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1125 In your letter of compliance, provide a statement that indicates how you will ensure this information is captured on the permission to transport, moving forward. 10A NCAC 09 .1003 SAFE PROCEDURES (i) Before children are transported, written permission from a parent shall be obtained that shall include when and where the child is to be transported, expected time of departure and arrival, and the transportation provider. Technical Assistance provided as follows: 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 8/1/24. 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: Moving forward, plan to include the reason for the off-premise activity on the posted schedule. Plan to review the updated Emergency Medical Care Plan with staff. Plan to maintain a signed acknowledgement from staff that the plan has been reviewed with them in their staff file. 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 .0901 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0510 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/8/2024 Number Present: 12 Completed Date: 2/8/2024 Age: From 3 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Kaitlyn Marshall, Child Care Consultant and also signed by CiCi Weston, Executive Director, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Weston was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five percent (85%) as of 2/5/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Christine Avery Learning Center, Inc. , is current/active as of 2/5/24. Permit type – Four (4) Star license issued 8/21/23. Special Services/Restrictions – 1st shift (daytime care), no cooking allowed, meets enhanced ratios, meets enhanced space, no children under 2.5 years of age. The temporary license was issued 2/21/23. The last fire drill was practiced on 1/25/24. The last shelter-in-place drill was practiced on 7/11/23. A lockdown drill was conducted during the visit today. The drill lasted approximately two (2) minutes. The staff and children exhibited knowledge of the procedures and protocol for a lockdown drill. The lockdown drill was documented on the safety drill log. The last playground inspection was documented on 1/10/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/8/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/3/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Tonisha Chislom, Curriculum Specialist. Ms. Weston arrived at approximately 9:45am. In classroom space 1, children drew pictures for their parents with markers, built castles with wooden blocks, and engaged in a music and movement activity on the iPad. In classroom space 2, children were engaged in a large group morning meeting led by both teachers. Children participated in a lesson on number identification and a group discussion about kindness. The teacher then dismissed the children to choose an independent activity by holding up a popsicle stick with each child’s picture. Two (2) children participated in a teacher-led activity writing letters with whipped cream. Interactions were positive and supportive. Children were redirected as needed. Children were actively supervised at all times. Lunch today consisted of stuffed pepper and beef soup, breadsticks, beans, papaya and mango, and milk. There are twenty-one (21) children enrolled. Three (3) children’s files were monitored today. There are eleven (11) staff. Two (2) new staff files and one (1) existing staff file was monitored today. 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 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. The menu stated mixed vegetables would be served for lunch. Beans were served instead. 10A NCAC 09 .0901(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff hire date 8/21/23, had a medical report on file dated 9/6/23. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 8/21/23, had a TB test on file dated 8/25/23. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place drill was conducted on 7/11/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #528 The vegetable option was updated on the menu during the visit today. This was corrected. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Item #1811 A lockdown drill was conducted during the visit today. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Item #1032 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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 and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item Requirements: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due Date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 In your letter of compliance, include a statement that indicates how you will ensure new staff obtain a medical report prior to employment. 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 2/22/24. 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: We discussed the kitchen door must remain closed and locked. Technical Assistance was given today on the screen time log. Please see the rule reference below for additional guidance: 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. We discussed staff who are in school and are using semester hours as on-going training hours. Plan to maintain documentation such as grades or enrollment information in the staff member’s file. As a reminder one (1) semester hour equals sixteen (16) on-going training hours. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 3. Your Prep Year will be 7/1/25-6/30/26. Your Reassessment year will be 7/1/26-6/30/27. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0510 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/11/2023 Number Present: 19 Completed Date: 7/11/2023 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit is to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. 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 Leondra McDay, Administrator, during the visit. Monica Houck, Lead Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. McDay was on-site today and available to answer and ask questions. Currently this center operates with a Temporary License, issued for 2/21/23 and is effective through 8/21/23. The restrictions include daytime care only, no cooking allowed, no children under 2.5 years of age. Maximum capacity twenty (20) children. The North Carolina Secretary of State website was checked today and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active. If any changes to the non-profit corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 6/29/23. The last shelter in place drill was practiced on 7/11/23. The last monthly playground inspection was completed on 6/13/23. The last sanitation inspection was 4/27/23 with fifteen (15) demerits for a Superior rating. An approved fire inspection was completed on 4/4/23. There is a current lead investigation at the facility. The emergency preparedness and response (EPR) plan was created on 5/3/23. The emergency medical care (EMC) plan was posted and current. An incident log was in use and maintained. In classroom space 1, children were observed engaging in a large group meeting exploring the alphabet. In classroom space 2, children were observed transitioning to a large group morning meeting and taking turns using the restroom. During the morning meeting, children introduced themselves to a new student and a music and movement activity was observed. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. This is the facility’s first shelter-in-place drill. Children and staff exhibited knowledge of procedures. There are no new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The blocks in classroom spaces 1 and 2 contained enough blocks for two children to build substantial structures. .0510(d)(1) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer's instructions for the climber on the playground stated that the equipment is approved for private home use only. .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person identified as the person responsible for carrying out the plan and the alternate person were not present for the following actions: person responsible for giving first aid, persons responsible for notification of parents or emergency contacts. .0802(b)(1-2) Technical Assistance provided as follows: Item #0468 Plan to include one additional set of blocks in each classroom. The blocks can be wooden, cardboard or foam blocks. As a reminder interlocking blocks are considered manipulatives and would not be compliant with this rule. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; Item #1419 Plan to remove the climbing structure from the playground. The manufacturer’s instructions state that the climber is only approved for private use at home and is not approved for use in commercial settings. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1914 The Emergency Medical Care Plan was updated during the visit today to include the names of teachers and lead teachers as the persons responsible for carrying out the plan and alternates. This was corrected during the visit today. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was eighty-seven percent (87%). Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Total staff education = 4 point The following rule references below will provide the requirements for higher education points. 10A NCAC 09 .2819 ENHANCED EDUCATION STANDARDS FOR ON-SITE ADMINISTRATORS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2821 ENHANCED EDUCATION STANDARDS FOR TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS Program Standards: The ECERS-R ERS assessment was conducted on 6/7/23 with a score of 5.77 points. The program meets enhanced space and voluntary enhanced ratios. Program standards = 6 points 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: A quality point is met by having a staff benefits package and infrastructure of parent involvement. Quality point = 1 point After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Plan to update your personnel policies to include your retirement plan for staff. Your facility is in a vacant territory and a Child Care Consultant has not been assigned to your facility yet. I am working to support the vacant territory, you may reach out to me with any questions at kaitlyn.marshall@dhhs.nc.gov. 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 as needed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. 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 .0601 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/11/2023 Number Present: 19 Completed Date: 7/11/2023 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit is to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. 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 Leondra McDay, Administrator, during the visit. Monica Houck, Lead Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. McDay was on-site today and available to answer and ask questions. Currently this center operates with a Temporary License, issued for 2/21/23 and is effective through 8/21/23. The restrictions include daytime care only, no cooking allowed, no children under 2.5 years of age. Maximum capacity twenty (20) children. The North Carolina Secretary of State website was checked today and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active. If any changes to the non-profit corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 6/29/23. The last shelter in place drill was practiced on 7/11/23. The last monthly playground inspection was completed on 6/13/23. The last sanitation inspection was 4/27/23 with fifteen (15) demerits for a Superior rating. An approved fire inspection was completed on 4/4/23. There is a current lead investigation at the facility. The emergency preparedness and response (EPR) plan was created on 5/3/23. The emergency medical care (EMC) plan was posted and current. An incident log was in use and maintained. In classroom space 1, children were observed engaging in a large group meeting exploring the alphabet. In classroom space 2, children were observed transitioning to a large group morning meeting and taking turns using the restroom. During the morning meeting, children introduced themselves to a new student and a music and movement activity was observed. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. This is the facility’s first shelter-in-place drill. Children and staff exhibited knowledge of procedures. There are no new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The blocks in classroom spaces 1 and 2 contained enough blocks for two children to build substantial structures. .0510(d)(1) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer's instructions for the climber on the playground stated that the equipment is approved for private home use only. .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person identified as the person responsible for carrying out the plan and the alternate person were not present for the following actions: person responsible for giving first aid, persons responsible for notification of parents or emergency contacts. .0802(b)(1-2) Technical Assistance provided as follows: Item #0468 Plan to include one additional set of blocks in each classroom. The blocks can be wooden, cardboard or foam blocks. As a reminder interlocking blocks are considered manipulatives and would not be compliant with this rule. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; Item #1419 Plan to remove the climbing structure from the playground. The manufacturer’s instructions state that the climber is only approved for private use at home and is not approved for use in commercial settings. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1914 The Emergency Medical Care Plan was updated during the visit today to include the names of teachers and lead teachers as the persons responsible for carrying out the plan and alternates. This was corrected during the visit today. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was eighty-seven percent (87%). Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Total staff education = 4 point The following rule references below will provide the requirements for higher education points. 10A NCAC 09 .2819 ENHANCED EDUCATION STANDARDS FOR ON-SITE ADMINISTRATORS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2821 ENHANCED EDUCATION STANDARDS FOR TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS Program Standards: The ECERS-R ERS assessment was conducted on 6/7/23 with a score of 5.77 points. The program meets enhanced space and voluntary enhanced ratios. Program standards = 6 points 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: A quality point is met by having a staff benefits package and infrastructure of parent involvement. Quality point = 1 point After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Plan to update your personnel policies to include your retirement plan for staff. Your facility is in a vacant territory and a Child Care Consultant has not been assigned to your facility yet. I am working to support the vacant territory, you may reach out to me with any questions at kaitlyn.marshall@dhhs.nc.gov. 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 as needed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. 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 .0802 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/11/2023 Number Present: 19 Completed Date: 7/11/2023 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit is to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. 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 Leondra McDay, Administrator, during the visit. Monica Houck, Lead Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. McDay was on-site today and available to answer and ask questions. Currently this center operates with a Temporary License, issued for 2/21/23 and is effective through 8/21/23. The restrictions include daytime care only, no cooking allowed, no children under 2.5 years of age. Maximum capacity twenty (20) children. The North Carolina Secretary of State website was checked today and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active. If any changes to the non-profit corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 6/29/23. The last shelter in place drill was practiced on 7/11/23. The last monthly playground inspection was completed on 6/13/23. The last sanitation inspection was 4/27/23 with fifteen (15) demerits for a Superior rating. An approved fire inspection was completed on 4/4/23. There is a current lead investigation at the facility. The emergency preparedness and response (EPR) plan was created on 5/3/23. The emergency medical care (EMC) plan was posted and current. An incident log was in use and maintained. In classroom space 1, children were observed engaging in a large group meeting exploring the alphabet. In classroom space 2, children were observed transitioning to a large group morning meeting and taking turns using the restroom. During the morning meeting, children introduced themselves to a new student and a music and movement activity was observed. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. This is the facility’s first shelter-in-place drill. Children and staff exhibited knowledge of procedures. There are no new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The blocks in classroom spaces 1 and 2 contained enough blocks for two children to build substantial structures. .0510(d)(1) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer's instructions for the climber on the playground stated that the equipment is approved for private home use only. .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person identified as the person responsible for carrying out the plan and the alternate person were not present for the following actions: person responsible for giving first aid, persons responsible for notification of parents or emergency contacts. .0802(b)(1-2) Technical Assistance provided as follows: Item #0468 Plan to include one additional set of blocks in each classroom. The blocks can be wooden, cardboard or foam blocks. As a reminder interlocking blocks are considered manipulatives and would not be compliant with this rule. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; Item #1419 Plan to remove the climbing structure from the playground. The manufacturer’s instructions state that the climber is only approved for private use at home and is not approved for use in commercial settings. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1914 The Emergency Medical Care Plan was updated during the visit today to include the names of teachers and lead teachers as the persons responsible for carrying out the plan and alternates. This was corrected during the visit today. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was eighty-seven percent (87%). Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Total staff education = 4 point The following rule references below will provide the requirements for higher education points. 10A NCAC 09 .2819 ENHANCED EDUCATION STANDARDS FOR ON-SITE ADMINISTRATORS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2821 ENHANCED EDUCATION STANDARDS FOR TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS Program Standards: The ECERS-R ERS assessment was conducted on 6/7/23 with a score of 5.77 points. The program meets enhanced space and voluntary enhanced ratios. Program standards = 6 points 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: A quality point is met by having a staff benefits package and infrastructure of parent involvement. Quality point = 1 point After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Plan to update your personnel policies to include your retirement plan for staff. Your facility is in a vacant territory and a Child Care Consultant has not been assigned to your facility yet. I am working to support the vacant territory, you may reach out to me with any questions at kaitlyn.marshall@dhhs.nc.gov. 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 as needed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. 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 .2818 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/11/2023 Number Present: 19 Completed Date: 7/11/2023 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit is to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. 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 Leondra McDay, Administrator, during the visit. Monica Houck, Lead Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. McDay was on-site today and available to answer and ask questions. Currently this center operates with a Temporary License, issued for 2/21/23 and is effective through 8/21/23. The restrictions include daytime care only, no cooking allowed, no children under 2.5 years of age. Maximum capacity twenty (20) children. The North Carolina Secretary of State website was checked today and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active. If any changes to the non-profit corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 6/29/23. The last shelter in place drill was practiced on 7/11/23. The last monthly playground inspection was completed on 6/13/23. The last sanitation inspection was 4/27/23 with fifteen (15) demerits for a Superior rating. An approved fire inspection was completed on 4/4/23. There is a current lead investigation at the facility. The emergency preparedness and response (EPR) plan was created on 5/3/23. The emergency medical care (EMC) plan was posted and current. An incident log was in use and maintained. In classroom space 1, children were observed engaging in a large group meeting exploring the alphabet. In classroom space 2, children were observed transitioning to a large group morning meeting and taking turns using the restroom. During the morning meeting, children introduced themselves to a new student and a music and movement activity was observed. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. This is the facility’s first shelter-in-place drill. Children and staff exhibited knowledge of procedures. There are no new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The blocks in classroom spaces 1 and 2 contained enough blocks for two children to build substantial structures. .0510(d)(1) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer's instructions for the climber on the playground stated that the equipment is approved for private home use only. .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person identified as the person responsible for carrying out the plan and the alternate person were not present for the following actions: person responsible for giving first aid, persons responsible for notification of parents or emergency contacts. .0802(b)(1-2) Technical Assistance provided as follows: Item #0468 Plan to include one additional set of blocks in each classroom. The blocks can be wooden, cardboard or foam blocks. As a reminder interlocking blocks are considered manipulatives and would not be compliant with this rule. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; Item #1419 Plan to remove the climbing structure from the playground. The manufacturer’s instructions state that the climber is only approved for private use at home and is not approved for use in commercial settings. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1914 The Emergency Medical Care Plan was updated during the visit today to include the names of teachers and lead teachers as the persons responsible for carrying out the plan and alternates. This was corrected during the visit today. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was eighty-seven percent (87%). Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Total staff education = 4 point The following rule references below will provide the requirements for higher education points. 10A NCAC 09 .2819 ENHANCED EDUCATION STANDARDS FOR ON-SITE ADMINISTRATORS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2821 ENHANCED EDUCATION STANDARDS FOR TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS Program Standards: The ECERS-R ERS assessment was conducted on 6/7/23 with a score of 5.77 points. The program meets enhanced space and voluntary enhanced ratios. Program standards = 6 points 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: A quality point is met by having a staff benefits package and infrastructure of parent involvement. Quality point = 1 point After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Plan to update your personnel policies to include your retirement plan for staff. Your facility is in a vacant territory and a Child Care Consultant has not been assigned to your facility yet. I am working to support the vacant territory, you may reach out to me with any questions at kaitlyn.marshall@dhhs.nc.gov. 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 as needed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. 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 .2819 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/11/2023 Number Present: 19 Completed Date: 7/11/2023 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit is to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. 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 Leondra McDay, Administrator, during the visit. Monica Houck, Lead Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. McDay was on-site today and available to answer and ask questions. Currently this center operates with a Temporary License, issued for 2/21/23 and is effective through 8/21/23. The restrictions include daytime care only, no cooking allowed, no children under 2.5 years of age. Maximum capacity twenty (20) children. The North Carolina Secretary of State website was checked today and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active. If any changes to the non-profit corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 6/29/23. The last shelter in place drill was practiced on 7/11/23. The last monthly playground inspection was completed on 6/13/23. The last sanitation inspection was 4/27/23 with fifteen (15) demerits for a Superior rating. An approved fire inspection was completed on 4/4/23. There is a current lead investigation at the facility. The emergency preparedness and response (EPR) plan was created on 5/3/23. The emergency medical care (EMC) plan was posted and current. An incident log was in use and maintained. In classroom space 1, children were observed engaging in a large group meeting exploring the alphabet. In classroom space 2, children were observed transitioning to a large group morning meeting and taking turns using the restroom. During the morning meeting, children introduced themselves to a new student and a music and movement activity was observed. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. This is the facility’s first shelter-in-place drill. Children and staff exhibited knowledge of procedures. There are no new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The blocks in classroom spaces 1 and 2 contained enough blocks for two children to build substantial structures. .0510(d)(1) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer's instructions for the climber on the playground stated that the equipment is approved for private home use only. .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person identified as the person responsible for carrying out the plan and the alternate person were not present for the following actions: person responsible for giving first aid, persons responsible for notification of parents or emergency contacts. .0802(b)(1-2) Technical Assistance provided as follows: Item #0468 Plan to include one additional set of blocks in each classroom. The blocks can be wooden, cardboard or foam blocks. As a reminder interlocking blocks are considered manipulatives and would not be compliant with this rule. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; Item #1419 Plan to remove the climbing structure from the playground. The manufacturer’s instructions state that the climber is only approved for private use at home and is not approved for use in commercial settings. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1914 The Emergency Medical Care Plan was updated during the visit today to include the names of teachers and lead teachers as the persons responsible for carrying out the plan and alternates. This was corrected during the visit today. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was eighty-seven percent (87%). Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Total staff education = 4 point The following rule references below will provide the requirements for higher education points. 10A NCAC 09 .2819 ENHANCED EDUCATION STANDARDS FOR ON-SITE ADMINISTRATORS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2821 ENHANCED EDUCATION STANDARDS FOR TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS Program Standards: The ECERS-R ERS assessment was conducted on 6/7/23 with a score of 5.77 points. The program meets enhanced space and voluntary enhanced ratios. Program standards = 6 points 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: A quality point is met by having a staff benefits package and infrastructure of parent involvement. Quality point = 1 point After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Plan to update your personnel policies to include your retirement plan for staff. Your facility is in a vacant territory and a Child Care Consultant has not been assigned to your facility yet. I am working to support the vacant territory, you may reach out to me with any questions at kaitlyn.marshall@dhhs.nc.gov. 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 as needed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. 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 .2820 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/11/2023 Number Present: 19 Completed Date: 7/11/2023 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit is to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. 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 Leondra McDay, Administrator, during the visit. Monica Houck, Lead Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. McDay was on-site today and available to answer and ask questions. Currently this center operates with a Temporary License, issued for 2/21/23 and is effective through 8/21/23. The restrictions include daytime care only, no cooking allowed, no children under 2.5 years of age. Maximum capacity twenty (20) children. The North Carolina Secretary of State website was checked today and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active. If any changes to the non-profit corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 6/29/23. The last shelter in place drill was practiced on 7/11/23. The last monthly playground inspection was completed on 6/13/23. The last sanitation inspection was 4/27/23 with fifteen (15) demerits for a Superior rating. An approved fire inspection was completed on 4/4/23. There is a current lead investigation at the facility. The emergency preparedness and response (EPR) plan was created on 5/3/23. The emergency medical care (EMC) plan was posted and current. An incident log was in use and maintained. In classroom space 1, children were observed engaging in a large group meeting exploring the alphabet. In classroom space 2, children were observed transitioning to a large group morning meeting and taking turns using the restroom. During the morning meeting, children introduced themselves to a new student and a music and movement activity was observed. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. This is the facility’s first shelter-in-place drill. Children and staff exhibited knowledge of procedures. There are no new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The blocks in classroom spaces 1 and 2 contained enough blocks for two children to build substantial structures. .0510(d)(1) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer's instructions for the climber on the playground stated that the equipment is approved for private home use only. .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person identified as the person responsible for carrying out the plan and the alternate person were not present for the following actions: person responsible for giving first aid, persons responsible for notification of parents or emergency contacts. .0802(b)(1-2) Technical Assistance provided as follows: Item #0468 Plan to include one additional set of blocks in each classroom. The blocks can be wooden, cardboard or foam blocks. As a reminder interlocking blocks are considered manipulatives and would not be compliant with this rule. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; Item #1419 Plan to remove the climbing structure from the playground. The manufacturer’s instructions state that the climber is only approved for private use at home and is not approved for use in commercial settings. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1914 The Emergency Medical Care Plan was updated during the visit today to include the names of teachers and lead teachers as the persons responsible for carrying out the plan and alternates. This was corrected during the visit today. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was eighty-seven percent (87%). Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Total staff education = 4 point The following rule references below will provide the requirements for higher education points. 10A NCAC 09 .2819 ENHANCED EDUCATION STANDARDS FOR ON-SITE ADMINISTRATORS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2821 ENHANCED EDUCATION STANDARDS FOR TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS Program Standards: The ECERS-R ERS assessment was conducted on 6/7/23 with a score of 5.77 points. The program meets enhanced space and voluntary enhanced ratios. Program standards = 6 points 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: A quality point is met by having a staff benefits package and infrastructure of parent involvement. Quality point = 1 point After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Plan to update your personnel policies to include your retirement plan for staff. Your facility is in a vacant territory and a Child Care Consultant has not been assigned to your facility yet. I am working to support the vacant territory, you may reach out to me with any questions at kaitlyn.marshall@dhhs.nc.gov. 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 as needed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. 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 .2821 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/11/2023 Number Present: 19 Completed Date: 7/11/2023 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit is to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. 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 Leondra McDay, Administrator, during the visit. Monica Houck, Lead Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. McDay was on-site today and available to answer and ask questions. Currently this center operates with a Temporary License, issued for 2/21/23 and is effective through 8/21/23. The restrictions include daytime care only, no cooking allowed, no children under 2.5 years of age. Maximum capacity twenty (20) children. The North Carolina Secretary of State website was checked today and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active. If any changes to the non-profit corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 6/29/23. The last shelter in place drill was practiced on 7/11/23. The last monthly playground inspection was completed on 6/13/23. The last sanitation inspection was 4/27/23 with fifteen (15) demerits for a Superior rating. An approved fire inspection was completed on 4/4/23. There is a current lead investigation at the facility. The emergency preparedness and response (EPR) plan was created on 5/3/23. The emergency medical care (EMC) plan was posted and current. An incident log was in use and maintained. In classroom space 1, children were observed engaging in a large group meeting exploring the alphabet. In classroom space 2, children were observed transitioning to a large group morning meeting and taking turns using the restroom. During the morning meeting, children introduced themselves to a new student and a music and movement activity was observed. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. This is the facility’s first shelter-in-place drill. Children and staff exhibited knowledge of procedures. There are no new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The blocks in classroom spaces 1 and 2 contained enough blocks for two children to build substantial structures. .0510(d)(1) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer's instructions for the climber on the playground stated that the equipment is approved for private home use only. .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person identified as the person responsible for carrying out the plan and the alternate person were not present for the following actions: person responsible for giving first aid, persons responsible for notification of parents or emergency contacts. .0802(b)(1-2) Technical Assistance provided as follows: Item #0468 Plan to include one additional set of blocks in each classroom. The blocks can be wooden, cardboard or foam blocks. As a reminder interlocking blocks are considered manipulatives and would not be compliant with this rule. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; Item #1419 Plan to remove the climbing structure from the playground. The manufacturer’s instructions state that the climber is only approved for private use at home and is not approved for use in commercial settings. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1914 The Emergency Medical Care Plan was updated during the visit today to include the names of teachers and lead teachers as the persons responsible for carrying out the plan and alternates. This was corrected during the visit today. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was eighty-seven percent (87%). Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Total staff education = 4 point The following rule references below will provide the requirements for higher education points. 10A NCAC 09 .2819 ENHANCED EDUCATION STANDARDS FOR ON-SITE ADMINISTRATORS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2821 ENHANCED EDUCATION STANDARDS FOR TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS Program Standards: The ECERS-R ERS assessment was conducted on 6/7/23 with a score of 5.77 points. The program meets enhanced space and voluntary enhanced ratios. Program standards = 6 points 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: A quality point is met by having a staff benefits package and infrastructure of parent involvement. Quality point = 1 point After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Plan to update your personnel policies to include your retirement plan for staff. Your facility is in a vacant territory and a Child Care Consultant has not been assigned to your facility yet. I am working to support the vacant territory, you may reach out to me with any questions at kaitlyn.marshall@dhhs.nc.gov. 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 as needed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/11/2023 Number Present: 19 Completed Date: 7/11/2023 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit is to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. 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 Leondra McDay, Administrator, during the visit. Monica Houck, Lead Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. McDay was on-site today and available to answer and ask questions. Currently this center operates with a Temporary License, issued for 2/21/23 and is effective through 8/21/23. The restrictions include daytime care only, no cooking allowed, no children under 2.5 years of age. Maximum capacity twenty (20) children. The North Carolina Secretary of State website was checked today and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active. If any changes to the non-profit corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 6/29/23. The last shelter in place drill was practiced on 7/11/23. The last monthly playground inspection was completed on 6/13/23. The last sanitation inspection was 4/27/23 with fifteen (15) demerits for a Superior rating. An approved fire inspection was completed on 4/4/23. There is a current lead investigation at the facility. The emergency preparedness and response (EPR) plan was created on 5/3/23. The emergency medical care (EMC) plan was posted and current. An incident log was in use and maintained. In classroom space 1, children were observed engaging in a large group meeting exploring the alphabet. In classroom space 2, children were observed transitioning to a large group morning meeting and taking turns using the restroom. During the morning meeting, children introduced themselves to a new student and a music and movement activity was observed. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. This is the facility’s first shelter-in-place drill. Children and staff exhibited knowledge of procedures. There are no new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The blocks in classroom spaces 1 and 2 contained enough blocks for two children to build substantial structures. .0510(d)(1) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer's instructions for the climber on the playground stated that the equipment is approved for private home use only. .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person identified as the person responsible for carrying out the plan and the alternate person were not present for the following actions: person responsible for giving first aid, persons responsible for notification of parents or emergency contacts. .0802(b)(1-2) Technical Assistance provided as follows: Item #0468 Plan to include one additional set of blocks in each classroom. The blocks can be wooden, cardboard or foam blocks. As a reminder interlocking blocks are considered manipulatives and would not be compliant with this rule. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; Item #1419 Plan to remove the climbing structure from the playground. The manufacturer’s instructions state that the climber is only approved for private use at home and is not approved for use in commercial settings. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1914 The Emergency Medical Care Plan was updated during the visit today to include the names of teachers and lead teachers as the persons responsible for carrying out the plan and alternates. This was corrected during the visit today. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was eighty-seven percent (87%). Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Total staff education = 4 point The following rule references below will provide the requirements for higher education points. 10A NCAC 09 .2819 ENHANCED EDUCATION STANDARDS FOR ON-SITE ADMINISTRATORS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2821 ENHANCED EDUCATION STANDARDS FOR TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS Program Standards: The ECERS-R ERS assessment was conducted on 6/7/23 with a score of 5.77 points. The program meets enhanced space and voluntary enhanced ratios. Program standards = 6 points 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: A quality point is met by having a staff benefits package and infrastructure of parent involvement. Quality point = 1 point After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Plan to update your personnel policies to include your retirement plan for staff. Your facility is in a vacant territory and a Child Care Consultant has not been assigned to your facility yet. I am working to support the vacant territory, you may reach out to me with any questions at kaitlyn.marshall@dhhs.nc.gov. 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 as needed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: THE CHRISTINE AVERY LEARNING CENTER - ST. MARK'S Facility ID: 11000936 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 7/11/2023 Number Present: 19 Completed Date: 7/11/2023 Age: From 3 To 5 Total Minutes: 135 Time In: 09:00 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of the third temporary time period visit is to monitor limited child care requirements and review the Environmental Rating Scales (ERS) assessment scores. 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 Leondra McDay, Administrator, during the visit. Monica Houck, Lead Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. McDay was on-site today and available to answer and ask questions. Currently this center operates with a Temporary License, issued for 2/21/23 and is effective through 8/21/23. The restrictions include daytime care only, no cooking allowed, no children under 2.5 years of age. Maximum capacity twenty (20) children. The North Carolina Secretary of State website was checked today and the non-profit corporation, The Christine Avery Learning Center, Inc. is current/active. If any changes to the non-profit corporation need to be made or you decide to sell your business, then you must notify your consultant at least thirty (30) days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location or inherited. The last monthly fire drill was practiced on 6/29/23. The last shelter in place drill was practiced on 7/11/23. The last monthly playground inspection was completed on 6/13/23. The last sanitation inspection was 4/27/23 with fifteen (15) demerits for a Superior rating. An approved fire inspection was completed on 4/4/23. There is a current lead investigation at the facility. The emergency preparedness and response (EPR) plan was created on 5/3/23. The emergency medical care (EMC) plan was posted and current. An incident log was in use and maintained. In classroom space 1, children were observed engaging in a large group meeting exploring the alphabet. In classroom space 2, children were observed transitioning to a large group morning meeting and taking turns using the restroom. During the morning meeting, children introduced themselves to a new student and a music and movement activity was observed. Interactions were positive and nurturing. Children were actively supervised at all times. A shelter-in-place drill was conducted during the visit today. This is the facility’s first shelter-in-place drill. Children and staff exhibited knowledge of procedures. There are no new staff. All ERS items scoring below five (5) points were discussed with the ERS Assessment Facility Summary Report and the Documentation of ERS Review tool. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following violations were documented during today’s visit: Violation Number Comment Rule 468 When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. The blocks in classroom spaces 1 and 2 contained enough blocks for two children to build substantial structures. .0510(d)(1) 1419 All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer's instructions were not kept on file or electronically accessible, if available. The manufacturer's instructions for the climber on the playground stated that the equipment is approved for private home use only. .0601(b) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person identified as the person responsible for carrying out the plan and the alternate person were not present for the following actions: person responsible for giving first aid, persons responsible for notification of parents or emergency contacts. .0802(b)(1-2) Technical Assistance provided as follows: Item #0468 Plan to include one additional set of blocks in each classroom. The blocks can be wooden, cardboard or foam blocks. As a reminder interlocking blocks are considered manipulatives and would not be compliant with this rule. 10A NCAC 09 .0510 ACTIVITY AREAS (d) When preschool children three years old and older are in care the following shall apply: (1) the materials and equipment in an activity area shall be in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities; Item #1419 Plan to remove the climbing structure from the playground. The manufacturer’s instructions state that the climber is only approved for private use at home and is not approved for use in commercial settings. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, the manufacturer's instructions shall be kept on file or electronically accessible, if available. Item #1914 The Emergency Medical Care Plan was updated during the visit today to include the names of teachers and lead teachers as the persons responsible for carrying out the plan and alternates. This was corrected during the visit today. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/21/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall 2 Pinehurst Ct. Asheville, NC 28805 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was eighty-seven percent (87%). Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Total staff education = 4 point The following rule references below will provide the requirements for higher education points. 10A NCAC 09 .2819 ENHANCED EDUCATION STANDARDS FOR ON-SITE ADMINISTRATORS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2820 ENHANCED EDUCATION STANDARDS FOR LEAD TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS 10A NCAC 09 .2821 ENHANCED EDUCATION STANDARDS FOR TEACHERS FOR A RATED LICENSE FOR CHILD CARE CENTERS Program Standards: The ECERS-R ERS assessment was conducted on 6/7/23 with a score of 5.77 points. The program meets enhanced space and voluntary enhanced ratios. Program standards = 6 points 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (a) This Rule shall apply to evaluating the staff/child ratios and maximum group sizes for a rated license for child care centers. (b) The center shall comply with the following staff/child ratios and maximum group sizes. Age Ratio Staff/Children Maximum Group Size 0 to 12 Months 1/5 10 1 to 2 Years 1/6 12 2 to 3 Years 1/9 18 3 to 4 Years 1/10 20 4 to 5 Years 1/13 25 5 to 6 Years 1/15 25 6 Years and Older 1/20 25 Quality Point: A quality point is met by having a staff benefits package and infrastructure of parent involvement. Quality point = 1 point After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a) A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation: Plan to update your personnel policies to include your retirement plan for staff. Your facility is in a vacant territory and a Child Care Consultant has not been assigned to your facility yet. I am working to support the vacant territory, you may reach out to me with any questions at kaitlyn.marshall@dhhs.nc.gov. 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 as needed. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. 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