Verner Central Center FOR Early Learning

10A NCAC 09 .0701 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0526-389L Visit Date: 6/3/2026 Number Present: 51 Completed Date: 6/3/2026 Age: From 0 To 5 Total Minutes: 260 Time In: 08:55 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Limited monitoring of child care requirements was conducted today to include supervision, program records, staff/child ratios and safe environment. There is a concern of inadequate supervision. The program operates with a five-star center license issued on 3/18/26 with restrictions: daytime care and meets Head Start/Early Head Start ratios. Center’s compliance history was eighty-seven (87) percent as of today prior to this visit. During today’s visit, Mx. Anderson accompanied me during a walk-through of the facility. Observation during walk-through: Current license was posted and only approved space were used to care for children. Space #1(Sassafras) – seven (7) children, two (2) and three (3) years of age, were present with two (2) staff members. During observation, I observed one (1) child crying for mother. One (1) staff member directed the crying child in the cozy cube, sat by the child while holding another child and calmly talked to the child. The other child sat with a few children on the sofa/mat. One (1) child ran across the room back and forth approximately dozen times. Another child joined the child and ran with him/her. When the children climbed on a shelf (hanging over the shelf), both staff members instructed them from distance to keep their feet on the floor. Children followed the direction, but repeated climbing over the shelf two (2) additional times. During these times, no guidance was provided by the staff members. Space #2 (Magnolia)– five (5) children, four (4) infants and one (1) child who was one (1) year of age, were present with two (2) staff members. Children were calm and explored their environment and materials. Two (2) children sat by the climber, while other three (3) children played with instruments, soft blocks and soft dolls. One (1) staff member sat by the climber on the floor and supervised the children, and the other staff interacted with the children playing with materials. Space #3 (Willow) – five (5) children, all one (1) year of age, were present with three (3) staff members. One (1) staff member modeled language when a child brought a jar. The staff member said, “Do you want to open it?” then opened the jar and said “Opened!” Other children played with pretend keyboard, blocks, pretend brush paint and other materials. When a child stood on top of the pretend keyboard, one (1) staff member instructed that keyboard is not to be stepped on. Upon arrival on one (1) child, the child’s hands were not washed. Space #4 (Hickory) – seven (7) children, one-to-two years of age, were present with two (2) staff members. Children played with light-up table, sandbox, balls and pretend trucks. One (1) staff member sat by the light-up table and interacted with a child, while the other staff members sat with some children and supervised the sand play. Space #5 (Laurel) – seven (7) children, one-to-two years of age, were present with two (2) staff members. One (1) floater was in the classroom to cover breaks for one (1) of the staff members. One (1) staff member changed diapers while the other staff member interacted with children. The children gathered around the floater and competed for attention. The floater calmly guided children. Space #6 (Holly) – four (4) children, all two (2) years of age, were present with two (2) staff members. One (1) child was observed to lightly hit another child with a magnifying glass. One (1) staff member was by the children and immediately intervened by putting his/her hand to protect the child’s face from the magnifying glass. Other children played with blocks and light-up table. Both staff members stayed with the children closely during play. Space #7 (Hawthorn) – seven (7) children, two-to-three years of age, were present with two (2) staff members. Additional staff member returned from break and three (3) staff members were present briefly. One (1) child who was playing with pretend animals and playdough got upset and started crying. (1) staff member calmly comforted the child. Space #8 – unlicensed space for Home Base services Space #9 (Cedar) – five (5) children, four-to-five years of age, were present with two (2) staff members. Children had breakfast at the table. Today, cheerios, bananas and milk were served. Both staff members stayed closed to the children during meal time. Space #10 (Chestnut) – four (4) children, three-to-four years of age, were present with two (2) staff members. Three (3) children sat at a table and waited for breakfast. One (1) child was at a sand table. One (1) staff member approached the child at the sand table and asked her/him to join the breakfast. Space #11 – multi-purpose room. Self-reported incident: Per Mx. Anderson in the original statement, the incident occurred at approximately 5:00 pm on May 28, 2026. During last hour of care, a child, five (5) years of age, was cared on the playground with two (2) other children. Upon transitioning to inside, he/she was left on the playground and unattended for approximately five (5) minutes. The incident occurred on the playground for 2’s and 3’s. Additional information: Video footage was reviewed during today’s visit. Actual time was not recorded on the footage, but the duration of the video was ten (10) minutes and seven (7) seconds. In the video, one (1) staff member and four (4) children were observed. Per Mx. Anderson, one (1) child who was left unattended was not visible in the video footage as he/she was playing in the mud kitchen area, which is located on the corner adjacent to the pre-K playground. This confirms that there were a total of five (5) children present with one (1) staff members. Two minutes and forty-two seconds into the video footage, four (4) children and one (1) staff member disappeared from the footage as they were near the gate, where video camera wasn’t covered. Between three minutes and four seconds and four minutes and four seconds, one (1) child and the staff member’s legs briefly showed up in the footage. At four minutes and thirty-three seconds into the video, four (4) children and one (1) staff members were seen walking on the ramp toward the building, then entered the building. At eight minutes and thirty-six seconds into the video, a child appeared on the video footage from the mud kitchen area. The child was seen looking around and walking around, eventually went back to the mud kitchen area. During ten minutes and seven seconds of the video, it did not show when the child was found or who found the child. Staff interview and policy review: Per interview with Mx. Anderson during today’s visit, it was established that two (2) children were brought to a staff member at front desk while one (1) child, five (5) years of age, was left unattended on the playground at approximately 5:00 pm on May 28, 2026. Additional program record was reviewed to identify how many children were in care around the time of the incident. Per program record, following was identified: • A child (2-yr-old) was signed out by a parent at 4:55 pm • A child (1-yr-old) was signed out by a parent at 4:58 pm • A child (2-yr-old) was signed out by a parent at 5:00 pm • A child (5-yr-old) was signed out by a parent at 5:00 pm • A child (2-yr-old) was signed out by a parent at 5:08 pm. Per interview with the staff member who was involved in the incident stated that he/she did not realize that he/she had a total of five (5) children in his/her care, resulting in not realizing that a child was in the mud kitchen. He/she also stated that he/she neglected to conduct a name-to-face count. Close to 5:00 pm, the staff member brought four (4) children to the front desk as he/she was supposed to leave at 5:00 pm. Between the door to the building and the front desk, two (2) children, one (1) and two (2) years of age, were picked up by the parents, resulting in two (2) children, both two (2) years of age, were brought and left with the staff member who was at the front desk, while one (1) child, who was five (5) years of age, were left unattended on the playground. Per Mx. Anderson, the program transition procedures include the followings: • Staff members have name-to-face sheet with names and ages of children. • Verner-sheet provides pictures of children • Gather children by the exit area and conduct name-to-face counts • Radio and announce the destination • Conduct a sweep of the area • Conduct threshold counts at every threshold These procedures were not followed by the staff member who was responsible for the group of children on May 28, 2026, causing the incident to occur. The staff member received disciplinary actions, including a write-up, additional training and a professional development plan. The training was “Supervision” provided by Academy. During today’s visit, disciplinary records and staff development plan for the staff member was reviewed. Based on information obtained, the following was determined. Between approximately 4:50 pm – 5:00 pm, five (5) children, aged one (1) to five (5) years, were cared by one (1) staff member on the 2’s and 3’s playground. One (1) child who was five (5) years of age, was in the mud kitchen area and the staff member on the playground did not have an accurate count of the children. While the staff member was on the playground, the child in the mud kitchen was not seen or heard. Close to 5:00 pm, the staff member took four (4) children, one (1) and two (2) years of age, to the front desk as he/she was scheduled to leave at 5:00 pm. On the way to the front desk, two (2) children were picked up by the parents – one (1-year old) at 4:55 pm, and the other (2-yr-old) at 4:58 pm. The staff member left two (both two years of age) children at front desk. When the parent of the child who was left on the playground came to pick up him/her, one (1) staff member found the child on the playground. The duration the child was alone on the playground unattended was estimated to be five (5) minutes or so. The record indicate that the child was picked up by the parents at 5:00 pm on 5/28/26. Based on the self-report and interview, the concern regarding supervision is confirmed. Three (3) staff files were monitored during today’s visit: New Staff files: Z. Cole: Date of employment – 5/18/26 Application -5/18/26 CBC – issued on 5/12/26, will expire on 5/12/31. Orientation – in progress Shaken baby policy review – 5/18/26 OP/PP review – 5/18/26 TB – 12/17/25 Medical – the record indicated that the staff member was seen at Novant Health on 2/20/26 for specific medical conditions. However, the medical record did not indicate that staff member was well, physically and mentally fit to care for children. HQ – 5/18/26 EI – program specific emergency information form was on file. However, the form did not have a date and the responsible party's choice of health care professional. N. Everett: Date of employment – 1/5/26 Application – 12/1/25 CBC- issued on 12/17/25, will expire on 12/17/30 Orientation – 2-wks 1/15/26, 6wks- 1/29/26 CPR/First Aid expiration date- 2/7/28 Recognizing and Responding to Suspicions of Child Maltreatment training – 1/15/26 Shaken baby policy review – 12/23/25 OP/PP review – 1/5/26 TB – 12/23/25 Medical -1/2/26 HQ – 12/23/25 EI- program specific emergency information form was on file. However, the form did not have a date and the responsible party's choice of health care professional. EMC/EPR review – 1/5/26 W. McMahan: Date of employment- 5/18/26 Application – 5/18/26 CBC- issued on 5/12/26, will expire on 5/12/31 Orientation – in progress Shaken baby policy review – 5/18/26 OP/PP review – 5/18/26 HQ- 5/18/26 Medical – 5/14/26 TB- 5/14/26 EI - program specific emergency information form was on file. However, the form did not have a date and the responsible party's choice of health care professional. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On May 28, 2026, one (1) child, who was five (5) years old, was left unattended on the playground for approximately five (5) minutes during last hours of operation. The staff member did not have accurate counts of children, leaving the child who was in hard-to-see area, during transition to inside. .1801(a)(1-5) 405 A child's hands were not washed after each diaper change. One (1) child's hands were not washed after diaper change in space #5. 15A NCAC 18A .2803(c)(2) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. One (1) child was dropped off in the classroom by a parent, and the child's hands were not washed upon arrival in space #3. 15A NCAC 18A .2803(c) 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. The medical report on file for one (1) staff member who was hired on 5/18/26, was not a well-check visit and did not reflect that the staff member was fit to care for children. 10A NCAC 09 .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. One (1) staff member with an employment date of 5/18/26, did not have responsible party's choice of health care professional. .0701(a) 1972 The staff/child ratios and group sizes for the number and ages of children in care were not maintained as required by the chosen accreditation organization or head start/early head start designation. On 5/28/26 at approximately 4:50 pm - 4:55 pm, five (5) children, age ranged from one (1), two(2) and five (5), were cared by one (1) staff member. .3207(i) Technical assistance was provided as follows: 303: Adequate supervision Children must be adequately supervised at all times to keep children safe. Supervision is basic to the safety and the prevention of injury and maintaining quality child care. It is the responsibility of staff to regularly count children (name to face recognition) on a routine basis, at every transition, and whenever they leave one area and arrive at another. Supervision errors most frequently occur during transitions. Staff members must have the correct head counts of the children at all times. Head Counts must be taken before, during and after each transition to make sure that all children in care are accounted for. Staff members shall not rely on others to conduct head counts. Each staff shall take their head counts and communicate the count to each other. Administrative oversight, especially toward the end of each day, is necessary to ensure that staff members are adequately following the procedures, as staff members tend to lose focus and be less consistent in following procedures at the end of each day. Based on today’s observation and corrective actions already in place for staff member who was involved in the incident, this violation was corrected by consultant visit. 405: handwashing after diaper change Child’s hands must be washed after each diaper change. Upon my request, a child’s hands were washed after diaper change. I observed the correction of this item. Therefore, this item was corrected during visit. 608: handwashing Children must wash their hands upon arrival, before meals, after toileting and after outdoor play. To comply, please review the sanitation requirements for 15A NCAC 18A.2803(c)with your staff members. In your compliance letter, please verify the completion of this action. 1032: Medical report Medical report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. To comply, medical report for Z. Cole must reflect the information listed above. In your compliance letter, please verify that the compliance was achieved. 1035: Emergency information form Emergency information form is required for all staff members on or prior to first day of employment and all required information must be listed. To comply, Z. Cole must include responsible party of choice of health professional on the emergency information form. In your compliance letter, please verify that the compliance was achieved. 1972: Head Start/Early Head Start staff/child ratios The staff/child ratios and group sizes for the number and ages of children in care must be maintained as required by the chosen accreditation organization or head start/early head start designation. After completing the Rated License Assessment, the program must follow Head Start and Early Head Start ratios at all times including first hour and the last hour of the day. To comply, you must follow 1:4 staff:child ratios for children under three (3) years of age, and 1:9 staff:child ratios for children three (3) and above at all times. The staff child ratios for the combined group is determined by the youngest child in the group. This requires a follow-up visit. Achieving Compliance: A follow-up visit will be conducted to verify compliance of 10A NCAC 09 .3207(i) Head Start/Early Head Start staff/child ratios. 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 6/17/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/child ratio sheet: Staff/child ratios sheet that you submitted for the Rated License Assessment must be posted in each classroom. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3207 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0526-389L Visit Date: 6/3/2026 Number Present: 51 Completed Date: 6/3/2026 Age: From 0 To 5 Total Minutes: 260 Time In: 08:55 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Limited monitoring of child care requirements was conducted today to include supervision, program records, staff/child ratios and safe environment. There is a concern of inadequate supervision. The program operates with a five-star center license issued on 3/18/26 with restrictions: daytime care and meets Head Start/Early Head Start ratios. Center’s compliance history was eighty-seven (87) percent as of today prior to this visit. During today’s visit, Mx. Anderson accompanied me during a walk-through of the facility. Observation during walk-through: Current license was posted and only approved space were used to care for children. Space #1(Sassafras) – seven (7) children, two (2) and three (3) years of age, were present with two (2) staff members. During observation, I observed one (1) child crying for mother. One (1) staff member directed the crying child in the cozy cube, sat by the child while holding another child and calmly talked to the child. The other child sat with a few children on the sofa/mat. One (1) child ran across the room back and forth approximately dozen times. Another child joined the child and ran with him/her. When the children climbed on a shelf (hanging over the shelf), both staff members instructed them from distance to keep their feet on the floor. Children followed the direction, but repeated climbing over the shelf two (2) additional times. During these times, no guidance was provided by the staff members. Space #2 (Magnolia)– five (5) children, four (4) infants and one (1) child who was one (1) year of age, were present with two (2) staff members. Children were calm and explored their environment and materials. Two (2) children sat by the climber, while other three (3) children played with instruments, soft blocks and soft dolls. One (1) staff member sat by the climber on the floor and supervised the children, and the other staff interacted with the children playing with materials. Space #3 (Willow) – five (5) children, all one (1) year of age, were present with three (3) staff members. One (1) staff member modeled language when a child brought a jar. The staff member said, “Do you want to open it?” then opened the jar and said “Opened!” Other children played with pretend keyboard, blocks, pretend brush paint and other materials. When a child stood on top of the pretend keyboard, one (1) staff member instructed that keyboard is not to be stepped on. Upon arrival on one (1) child, the child’s hands were not washed. Space #4 (Hickory) – seven (7) children, one-to-two years of age, were present with two (2) staff members. Children played with light-up table, sandbox, balls and pretend trucks. One (1) staff member sat by the light-up table and interacted with a child, while the other staff members sat with some children and supervised the sand play. Space #5 (Laurel) – seven (7) children, one-to-two years of age, were present with two (2) staff members. One (1) floater was in the classroom to cover breaks for one (1) of the staff members. One (1) staff member changed diapers while the other staff member interacted with children. The children gathered around the floater and competed for attention. The floater calmly guided children. Space #6 (Holly) – four (4) children, all two (2) years of age, were present with two (2) staff members. One (1) child was observed to lightly hit another child with a magnifying glass. One (1) staff member was by the children and immediately intervened by putting his/her hand to protect the child’s face from the magnifying glass. Other children played with blocks and light-up table. Both staff members stayed with the children closely during play. Space #7 (Hawthorn) – seven (7) children, two-to-three years of age, were present with two (2) staff members. Additional staff member returned from break and three (3) staff members were present briefly. One (1) child who was playing with pretend animals and playdough got upset and started crying. (1) staff member calmly comforted the child. Space #8 – unlicensed space for Home Base services Space #9 (Cedar) – five (5) children, four-to-five years of age, were present with two (2) staff members. Children had breakfast at the table. Today, cheerios, bananas and milk were served. Both staff members stayed closed to the children during meal time. Space #10 (Chestnut) – four (4) children, three-to-four years of age, were present with two (2) staff members. Three (3) children sat at a table and waited for breakfast. One (1) child was at a sand table. One (1) staff member approached the child at the sand table and asked her/him to join the breakfast. Space #11 – multi-purpose room. Self-reported incident: Per Mx. Anderson in the original statement, the incident occurred at approximately 5:00 pm on May 28, 2026. During last hour of care, a child, five (5) years of age, was cared on the playground with two (2) other children. Upon transitioning to inside, he/she was left on the playground and unattended for approximately five (5) minutes. The incident occurred on the playground for 2’s and 3’s. Additional information: Video footage was reviewed during today’s visit. Actual time was not recorded on the footage, but the duration of the video was ten (10) minutes and seven (7) seconds. In the video, one (1) staff member and four (4) children were observed. Per Mx. Anderson, one (1) child who was left unattended was not visible in the video footage as he/she was playing in the mud kitchen area, which is located on the corner adjacent to the pre-K playground. This confirms that there were a total of five (5) children present with one (1) staff members. Two minutes and forty-two seconds into the video footage, four (4) children and one (1) staff member disappeared from the footage as they were near the gate, where video camera wasn’t covered. Between three minutes and four seconds and four minutes and four seconds, one (1) child and the staff member’s legs briefly showed up in the footage. At four minutes and thirty-three seconds into the video, four (4) children and one (1) staff members were seen walking on the ramp toward the building, then entered the building. At eight minutes and thirty-six seconds into the video, a child appeared on the video footage from the mud kitchen area. The child was seen looking around and walking around, eventually went back to the mud kitchen area. During ten minutes and seven seconds of the video, it did not show when the child was found or who found the child. Staff interview and policy review: Per interview with Mx. Anderson during today’s visit, it was established that two (2) children were brought to a staff member at front desk while one (1) child, five (5) years of age, was left unattended on the playground at approximately 5:00 pm on May 28, 2026. Additional program record was reviewed to identify how many children were in care around the time of the incident. Per program record, following was identified: • A child (2-yr-old) was signed out by a parent at 4:55 pm • A child (1-yr-old) was signed out by a parent at 4:58 pm • A child (2-yr-old) was signed out by a parent at 5:00 pm • A child (5-yr-old) was signed out by a parent at 5:00 pm • A child (2-yr-old) was signed out by a parent at 5:08 pm. Per interview with the staff member who was involved in the incident stated that he/she did not realize that he/she had a total of five (5) children in his/her care, resulting in not realizing that a child was in the mud kitchen. He/she also stated that he/she neglected to conduct a name-to-face count. Close to 5:00 pm, the staff member brought four (4) children to the front desk as he/she was supposed to leave at 5:00 pm. Between the door to the building and the front desk, two (2) children, one (1) and two (2) years of age, were picked up by the parents, resulting in two (2) children, both two (2) years of age, were brought and left with the staff member who was at the front desk, while one (1) child, who was five (5) years of age, were left unattended on the playground. Per Mx. Anderson, the program transition procedures include the followings: • Staff members have name-to-face sheet with names and ages of children. • Verner-sheet provides pictures of children • Gather children by the exit area and conduct name-to-face counts • Radio and announce the destination • Conduct a sweep of the area • Conduct threshold counts at every threshold These procedures were not followed by the staff member who was responsible for the group of children on May 28, 2026, causing the incident to occur. The staff member received disciplinary actions, including a write-up, additional training and a professional development plan. The training was “Supervision” provided by Academy. During today’s visit, disciplinary records and staff development plan for the staff member was reviewed. Based on information obtained, the following was determined. Between approximately 4:50 pm – 5:00 pm, five (5) children, aged one (1) to five (5) years, were cared by one (1) staff member on the 2’s and 3’s playground. One (1) child who was five (5) years of age, was in the mud kitchen area and the staff member on the playground did not have an accurate count of the children. While the staff member was on the playground, the child in the mud kitchen was not seen or heard. Close to 5:00 pm, the staff member took four (4) children, one (1) and two (2) years of age, to the front desk as he/she was scheduled to leave at 5:00 pm. On the way to the front desk, two (2) children were picked up by the parents – one (1-year old) at 4:55 pm, and the other (2-yr-old) at 4:58 pm. The staff member left two (both two years of age) children at front desk. When the parent of the child who was left on the playground came to pick up him/her, one (1) staff member found the child on the playground. The duration the child was alone on the playground unattended was estimated to be five (5) minutes or so. The record indicate that the child was picked up by the parents at 5:00 pm on 5/28/26. Based on the self-report and interview, the concern regarding supervision is confirmed. Three (3) staff files were monitored during today’s visit: New Staff files: Z. Cole: Date of employment – 5/18/26 Application -5/18/26 CBC – issued on 5/12/26, will expire on 5/12/31. Orientation – in progress Shaken baby policy review – 5/18/26 OP/PP review – 5/18/26 TB – 12/17/25 Medical – the record indicated that the staff member was seen at Novant Health on 2/20/26 for specific medical conditions. However, the medical record did not indicate that staff member was well, physically and mentally fit to care for children. HQ – 5/18/26 EI – program specific emergency information form was on file. However, the form did not have a date and the responsible party's choice of health care professional. N. Everett: Date of employment – 1/5/26 Application – 12/1/25 CBC- issued on 12/17/25, will expire on 12/17/30 Orientation – 2-wks 1/15/26, 6wks- 1/29/26 CPR/First Aid expiration date- 2/7/28 Recognizing and Responding to Suspicions of Child Maltreatment training – 1/15/26 Shaken baby policy review – 12/23/25 OP/PP review – 1/5/26 TB – 12/23/25 Medical -1/2/26 HQ – 12/23/25 EI- program specific emergency information form was on file. However, the form did not have a date and the responsible party's choice of health care professional. EMC/EPR review – 1/5/26 W. McMahan: Date of employment- 5/18/26 Application – 5/18/26 CBC- issued on 5/12/26, will expire on 5/12/31 Orientation – in progress Shaken baby policy review – 5/18/26 OP/PP review – 5/18/26 HQ- 5/18/26 Medical – 5/14/26 TB- 5/14/26 EI - program specific emergency information form was on file. However, the form did not have a date and the responsible party's choice of health care professional. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On May 28, 2026, one (1) child, who was five (5) years old, was left unattended on the playground for approximately five (5) minutes during last hours of operation. The staff member did not have accurate counts of children, leaving the child who was in hard-to-see area, during transition to inside. .1801(a)(1-5) 405 A child's hands were not washed after each diaper change. One (1) child's hands were not washed after diaper change in space #5. 15A NCAC 18A .2803(c)(2) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. One (1) child was dropped off in the classroom by a parent, and the child's hands were not washed upon arrival in space #3. 15A NCAC 18A .2803(c) 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. The medical report on file for one (1) staff member who was hired on 5/18/26, was not a well-check visit and did not reflect that the staff member was fit to care for children. 10A NCAC 09 .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. One (1) staff member with an employment date of 5/18/26, did not have responsible party's choice of health care professional. .0701(a) 1972 The staff/child ratios and group sizes for the number and ages of children in care were not maintained as required by the chosen accreditation organization or head start/early head start designation. On 5/28/26 at approximately 4:50 pm - 4:55 pm, five (5) children, age ranged from one (1), two(2) and five (5), were cared by one (1) staff member. .3207(i) Technical assistance was provided as follows: 303: Adequate supervision Children must be adequately supervised at all times to keep children safe. Supervision is basic to the safety and the prevention of injury and maintaining quality child care. It is the responsibility of staff to regularly count children (name to face recognition) on a routine basis, at every transition, and whenever they leave one area and arrive at another. Supervision errors most frequently occur during transitions. Staff members must have the correct head counts of the children at all times. Head Counts must be taken before, during and after each transition to make sure that all children in care are accounted for. Staff members shall not rely on others to conduct head counts. Each staff shall take their head counts and communicate the count to each other. Administrative oversight, especially toward the end of each day, is necessary to ensure that staff members are adequately following the procedures, as staff members tend to lose focus and be less consistent in following procedures at the end of each day. Based on today’s observation and corrective actions already in place for staff member who was involved in the incident, this violation was corrected by consultant visit. 405: handwashing after diaper change Child’s hands must be washed after each diaper change. Upon my request, a child’s hands were washed after diaper change. I observed the correction of this item. Therefore, this item was corrected during visit. 608: handwashing Children must wash their hands upon arrival, before meals, after toileting and after outdoor play. To comply, please review the sanitation requirements for 15A NCAC 18A.2803(c)with your staff members. In your compliance letter, please verify the completion of this action. 1032: Medical report Medical report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. To comply, medical report for Z. Cole must reflect the information listed above. In your compliance letter, please verify that the compliance was achieved. 1035: Emergency information form Emergency information form is required for all staff members on or prior to first day of employment and all required information must be listed. To comply, Z. Cole must include responsible party of choice of health professional on the emergency information form. In your compliance letter, please verify that the compliance was achieved. 1972: Head Start/Early Head Start staff/child ratios The staff/child ratios and group sizes for the number and ages of children in care must be maintained as required by the chosen accreditation organization or head start/early head start designation. After completing the Rated License Assessment, the program must follow Head Start and Early Head Start ratios at all times including first hour and the last hour of the day. To comply, you must follow 1:4 staff:child ratios for children under three (3) years of age, and 1:9 staff:child ratios for children three (3) and above at all times. The staff child ratios for the combined group is determined by the youngest child in the group. This requires a follow-up visit. Achieving Compliance: A follow-up visit will be conducted to verify compliance of 10A NCAC 09 .3207(i) Head Start/Early Head Start staff/child ratios. 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 6/17/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/child ratio sheet: Staff/child ratios sheet that you submitted for the Rated License Assessment must be posted in each classroom. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0526-389L Visit Date: 6/3/2026 Number Present: 51 Completed Date: 6/3/2026 Age: From 0 To 5 Total Minutes: 260 Time In: 08:55 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Limited monitoring of child care requirements was conducted today to include supervision, program records, staff/child ratios and safe environment. There is a concern of inadequate supervision. The program operates with a five-star center license issued on 3/18/26 with restrictions: daytime care and meets Head Start/Early Head Start ratios. Center’s compliance history was eighty-seven (87) percent as of today prior to this visit. During today’s visit, Mx. Anderson accompanied me during a walk-through of the facility. Observation during walk-through: Current license was posted and only approved space were used to care for children. Space #1(Sassafras) – seven (7) children, two (2) and three (3) years of age, were present with two (2) staff members. During observation, I observed one (1) child crying for mother. One (1) staff member directed the crying child in the cozy cube, sat by the child while holding another child and calmly talked to the child. The other child sat with a few children on the sofa/mat. One (1) child ran across the room back and forth approximately dozen times. Another child joined the child and ran with him/her. When the children climbed on a shelf (hanging over the shelf), both staff members instructed them from distance to keep their feet on the floor. Children followed the direction, but repeated climbing over the shelf two (2) additional times. During these times, no guidance was provided by the staff members. Space #2 (Magnolia)– five (5) children, four (4) infants and one (1) child who was one (1) year of age, were present with two (2) staff members. Children were calm and explored their environment and materials. Two (2) children sat by the climber, while other three (3) children played with instruments, soft blocks and soft dolls. One (1) staff member sat by the climber on the floor and supervised the children, and the other staff interacted with the children playing with materials. Space #3 (Willow) – five (5) children, all one (1) year of age, were present with three (3) staff members. One (1) staff member modeled language when a child brought a jar. The staff member said, “Do you want to open it?” then opened the jar and said “Opened!” Other children played with pretend keyboard, blocks, pretend brush paint and other materials. When a child stood on top of the pretend keyboard, one (1) staff member instructed that keyboard is not to be stepped on. Upon arrival on one (1) child, the child’s hands were not washed. Space #4 (Hickory) – seven (7) children, one-to-two years of age, were present with two (2) staff members. Children played with light-up table, sandbox, balls and pretend trucks. One (1) staff member sat by the light-up table and interacted with a child, while the other staff members sat with some children and supervised the sand play. Space #5 (Laurel) – seven (7) children, one-to-two years of age, were present with two (2) staff members. One (1) floater was in the classroom to cover breaks for one (1) of the staff members. One (1) staff member changed diapers while the other staff member interacted with children. The children gathered around the floater and competed for attention. The floater calmly guided children. Space #6 (Holly) – four (4) children, all two (2) years of age, were present with two (2) staff members. One (1) child was observed to lightly hit another child with a magnifying glass. One (1) staff member was by the children and immediately intervened by putting his/her hand to protect the child’s face from the magnifying glass. Other children played with blocks and light-up table. Both staff members stayed with the children closely during play. Space #7 (Hawthorn) – seven (7) children, two-to-three years of age, were present with two (2) staff members. Additional staff member returned from break and three (3) staff members were present briefly. One (1) child who was playing with pretend animals and playdough got upset and started crying. (1) staff member calmly comforted the child. Space #8 – unlicensed space for Home Base services Space #9 (Cedar) – five (5) children, four-to-five years of age, were present with two (2) staff members. Children had breakfast at the table. Today, cheerios, bananas and milk were served. Both staff members stayed closed to the children during meal time. Space #10 (Chestnut) – four (4) children, three-to-four years of age, were present with two (2) staff members. Three (3) children sat at a table and waited for breakfast. One (1) child was at a sand table. One (1) staff member approached the child at the sand table and asked her/him to join the breakfast. Space #11 – multi-purpose room. Self-reported incident: Per Mx. Anderson in the original statement, the incident occurred at approximately 5:00 pm on May 28, 2026. During last hour of care, a child, five (5) years of age, was cared on the playground with two (2) other children. Upon transitioning to inside, he/she was left on the playground and unattended for approximately five (5) minutes. The incident occurred on the playground for 2’s and 3’s. Additional information: Video footage was reviewed during today’s visit. Actual time was not recorded on the footage, but the duration of the video was ten (10) minutes and seven (7) seconds. In the video, one (1) staff member and four (4) children were observed. Per Mx. Anderson, one (1) child who was left unattended was not visible in the video footage as he/she was playing in the mud kitchen area, which is located on the corner adjacent to the pre-K playground. This confirms that there were a total of five (5) children present with one (1) staff members. Two minutes and forty-two seconds into the video footage, four (4) children and one (1) staff member disappeared from the footage as they were near the gate, where video camera wasn’t covered. Between three minutes and four seconds and four minutes and four seconds, one (1) child and the staff member’s legs briefly showed up in the footage. At four minutes and thirty-three seconds into the video, four (4) children and one (1) staff members were seen walking on the ramp toward the building, then entered the building. At eight minutes and thirty-six seconds into the video, a child appeared on the video footage from the mud kitchen area. The child was seen looking around and walking around, eventually went back to the mud kitchen area. During ten minutes and seven seconds of the video, it did not show when the child was found or who found the child. Staff interview and policy review: Per interview with Mx. Anderson during today’s visit, it was established that two (2) children were brought to a staff member at front desk while one (1) child, five (5) years of age, was left unattended on the playground at approximately 5:00 pm on May 28, 2026. Additional program record was reviewed to identify how many children were in care around the time of the incident. Per program record, following was identified: • A child (2-yr-old) was signed out by a parent at 4:55 pm • A child (1-yr-old) was signed out by a parent at 4:58 pm • A child (2-yr-old) was signed out by a parent at 5:00 pm • A child (5-yr-old) was signed out by a parent at 5:00 pm • A child (2-yr-old) was signed out by a parent at 5:08 pm. Per interview with the staff member who was involved in the incident stated that he/she did not realize that he/she had a total of five (5) children in his/her care, resulting in not realizing that a child was in the mud kitchen. He/she also stated that he/she neglected to conduct a name-to-face count. Close to 5:00 pm, the staff member brought four (4) children to the front desk as he/she was supposed to leave at 5:00 pm. Between the door to the building and the front desk, two (2) children, one (1) and two (2) years of age, were picked up by the parents, resulting in two (2) children, both two (2) years of age, were brought and left with the staff member who was at the front desk, while one (1) child, who was five (5) years of age, were left unattended on the playground. Per Mx. Anderson, the program transition procedures include the followings: • Staff members have name-to-face sheet with names and ages of children. • Verner-sheet provides pictures of children • Gather children by the exit area and conduct name-to-face counts • Radio and announce the destination • Conduct a sweep of the area • Conduct threshold counts at every threshold These procedures were not followed by the staff member who was responsible for the group of children on May 28, 2026, causing the incident to occur. The staff member received disciplinary actions, including a write-up, additional training and a professional development plan. The training was “Supervision” provided by Academy. During today’s visit, disciplinary records and staff development plan for the staff member was reviewed. Based on information obtained, the following was determined. Between approximately 4:50 pm – 5:00 pm, five (5) children, aged one (1) to five (5) years, were cared by one (1) staff member on the 2’s and 3’s playground. One (1) child who was five (5) years of age, was in the mud kitchen area and the staff member on the playground did not have an accurate count of the children. While the staff member was on the playground, the child in the mud kitchen was not seen or heard. Close to 5:00 pm, the staff member took four (4) children, one (1) and two (2) years of age, to the front desk as he/she was scheduled to leave at 5:00 pm. On the way to the front desk, two (2) children were picked up by the parents – one (1-year old) at 4:55 pm, and the other (2-yr-old) at 4:58 pm. The staff member left two (both two years of age) children at front desk. When the parent of the child who was left on the playground came to pick up him/her, one (1) staff member found the child on the playground. The duration the child was alone on the playground unattended was estimated to be five (5) minutes or so. The record indicate that the child was picked up by the parents at 5:00 pm on 5/28/26. Based on the self-report and interview, the concern regarding supervision is confirmed. Three (3) staff files were monitored during today’s visit: New Staff files: Z. Cole: Date of employment – 5/18/26 Application -5/18/26 CBC – issued on 5/12/26, will expire on 5/12/31. Orientation – in progress Shaken baby policy review – 5/18/26 OP/PP review – 5/18/26 TB – 12/17/25 Medical – the record indicated that the staff member was seen at Novant Health on 2/20/26 for specific medical conditions. However, the medical record did not indicate that staff member was well, physically and mentally fit to care for children. HQ – 5/18/26 EI – program specific emergency information form was on file. However, the form did not have a date and the responsible party's choice of health care professional. N. Everett: Date of employment – 1/5/26 Application – 12/1/25 CBC- issued on 12/17/25, will expire on 12/17/30 Orientation – 2-wks 1/15/26, 6wks- 1/29/26 CPR/First Aid expiration date- 2/7/28 Recognizing and Responding to Suspicions of Child Maltreatment training – 1/15/26 Shaken baby policy review – 12/23/25 OP/PP review – 1/5/26 TB – 12/23/25 Medical -1/2/26 HQ – 12/23/25 EI- program specific emergency information form was on file. However, the form did not have a date and the responsible party's choice of health care professional. EMC/EPR review – 1/5/26 W. McMahan: Date of employment- 5/18/26 Application – 5/18/26 CBC- issued on 5/12/26, will expire on 5/12/31 Orientation – in progress Shaken baby policy review – 5/18/26 OP/PP review – 5/18/26 HQ- 5/18/26 Medical – 5/14/26 TB- 5/14/26 EI - program specific emergency information form was on file. However, the form did not have a date and the responsible party's choice of health care professional. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On May 28, 2026, one (1) child, who was five (5) years old, was left unattended on the playground for approximately five (5) minutes during last hours of operation. The staff member did not have accurate counts of children, leaving the child who was in hard-to-see area, during transition to inside. .1801(a)(1-5) 405 A child's hands were not washed after each diaper change. One (1) child's hands were not washed after diaper change in space #5. 15A NCAC 18A .2803(c)(2) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. One (1) child was dropped off in the classroom by a parent, and the child's hands were not washed upon arrival in space #3. 15A NCAC 18A .2803(c) 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. The medical report on file for one (1) staff member who was hired on 5/18/26, was not a well-check visit and did not reflect that the staff member was fit to care for children. 10A NCAC 09 .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. One (1) staff member with an employment date of 5/18/26, did not have responsible party's choice of health care professional. .0701(a) 1972 The staff/child ratios and group sizes for the number and ages of children in care were not maintained as required by the chosen accreditation organization or head start/early head start designation. On 5/28/26 at approximately 4:50 pm - 4:55 pm, five (5) children, age ranged from one (1), two(2) and five (5), were cared by one (1) staff member. .3207(i) Technical assistance was provided as follows: 303: Adequate supervision Children must be adequately supervised at all times to keep children safe. Supervision is basic to the safety and the prevention of injury and maintaining quality child care. It is the responsibility of staff to regularly count children (name to face recognition) on a routine basis, at every transition, and whenever they leave one area and arrive at another. Supervision errors most frequently occur during transitions. Staff members must have the correct head counts of the children at all times. Head Counts must be taken before, during and after each transition to make sure that all children in care are accounted for. Staff members shall not rely on others to conduct head counts. Each staff shall take their head counts and communicate the count to each other. Administrative oversight, especially toward the end of each day, is necessary to ensure that staff members are adequately following the procedures, as staff members tend to lose focus and be less consistent in following procedures at the end of each day. Based on today’s observation and corrective actions already in place for staff member who was involved in the incident, this violation was corrected by consultant visit. 405: handwashing after diaper change Child’s hands must be washed after each diaper change. Upon my request, a child’s hands were washed after diaper change. I observed the correction of this item. Therefore, this item was corrected during visit. 608: handwashing Children must wash their hands upon arrival, before meals, after toileting and after outdoor play. To comply, please review the sanitation requirements for 15A NCAC 18A.2803(c)with your staff members. In your compliance letter, please verify the completion of this action. 1032: Medical report Medical report is a statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. To comply, medical report for Z. Cole must reflect the information listed above. In your compliance letter, please verify that the compliance was achieved. 1035: Emergency information form Emergency information form is required for all staff members on or prior to first day of employment and all required information must be listed. To comply, Z. Cole must include responsible party of choice of health professional on the emergency information form. In your compliance letter, please verify that the compliance was achieved. 1972: Head Start/Early Head Start staff/child ratios The staff/child ratios and group sizes for the number and ages of children in care must be maintained as required by the chosen accreditation organization or head start/early head start designation. After completing the Rated License Assessment, the program must follow Head Start and Early Head Start ratios at all times including first hour and the last hour of the day. To comply, you must follow 1:4 staff:child ratios for children under three (3) years of age, and 1:9 staff:child ratios for children three (3) and above at all times. The staff child ratios for the combined group is determined by the youngest child in the group. This requires a follow-up visit. Achieving Compliance: A follow-up visit will be conducted to verify compliance of 10A NCAC 09 .3207(i) Head Start/Early Head Start staff/child ratios. 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 6/17/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Staff/child ratio sheet: Staff/child ratios sheet that you submitted for the Rated License Assessment must be posted in each classroom. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0226-294L Visit Date: 3/3/2026 Number Present: 71 Completed Date: 3/3/2026 Age: From 0 To 5 Total Minutes: 213 Time In: 09:47 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Mx. Anderson and Candice Arnold, Administrator assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was Eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star center license issued on 10/25/22. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. The complaint was received by the Division of Child Development and Early Education on 2/26/26 and sent to me on the same day. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and general safety. Allegations within the report included the following: *Children were not changed whenever they become soiled or wet and not on a shift basis. *Staff did not provide assistance to each child to ensure good hygiene. Allegations included that a child was without shoes, socks, or jacket outside on February 25, 2026, and that the child is constantly wet upon pick-up time and staff are not changing the child. The child’s face was not cleaned when soiled with nasal discharge, and sand was present in the child’s hair and scalp area. A walkthrough of the entire center was conducted to include nine (9) classrooms in operation today. Ms. Arnold accompanied me on the walkthrough of the center. The following staff/child ratios and group sizes were verified: • Space #1 (Sassafras) – Eight (8) children, all two (2) years of age, were present with two (2) staff members. • Space #2 (Magnolia) – Eight (8) children, all infants, were present with three (3) staff members. • Space #3 (Willow) – Seven (7) children, all one (1) year of age, were present with two (2) staff members. • Space #4 (Hickory) – Seven (7) children, one (1) to two (2) years of age, were present with two (2) staff members. • Space #5 (Laurel) – Eight (8) children, one (1) to two (2) years of age, were present with two (2) staff members. • Space #6 (Holly) – Six (6) children, all two (2) years old, were present with two (2) staff members. • Space #7 (Hawthorn) – Seven (7) children, two (2) to three (3) years of age, were present with staff members. • Space #9 (Cedar) – Fourteen (14) children, four (4) to five (5) years of age, were present with three (3) staff members. • Space #10 (Chestnut) – Six (6) children, all three (3) years old, were present with two (2) staff members. Children were observed. Fourteen (14) children, four-to-five years of age, from space #9 transitioned from the classroom to the playground. All children had jackets, and some had hats and gloves. The lead teacher conducted head counts while transitioning through the threshold. On the playground for one-year-olds, eight (8) children from space #5 and six (6) children from space #6 were present with six (6) adults. Children, ages one-to-two years old, walked around, explored the outdoor environment, and attempted to pull and push a pretend shopping cart. Out of six (6) adults, four (4) were staff members for space #5 and #6, one (1) provided one-on-one support for a child, and one (1) was a volunteer. No children were barefoot during the visit. Some children had sweatshirts on without jackets. On the playground for two-year-olds, a total of twenty-one (21) children were present with six (6) staff members – seven (7) children from space #7, eight (8) from space #1, and six (6) from space #10. During the observation, one (1) child, who was three (3) years of age, had an accident. A staff member from space #10 radioed the administrator to report the incident and took the child to the classroom to change. All children on this playground had socks, shoes, and jackets. Some had hats as well. The temperature outside at the time of observation was forty-eight (48) degrees. The license was posted, restrictions were followed, and only approved spaces were used. Complaint-Related Investigation Allegation Regarding Appropriate Clothing: According to online sources, the temperature in Asheville, NC, from 11:54 am to 1:54 pm on February 25, 2026, was approximately 60.1 degrees. The temperature was recorded at fifty-two (52) degrees at 16:54 pm in the same area. Mx. Anderson and three (3) staff members who typically work during wrap-around hours were interviewed regarding their playground practices. Per interview with Mx. Anderson, Early Head Start children leave daily at 2:45 pm, and wrap-around care is offered until 5:00 pm at this program. There are staff members who leave at 4:15 pm, 4:30 pm, and 5:00 pm. Depending on the number of children remaining during the last ½ hour to an hour, some groups may be combined. Per Mx. Anderson, outdoor play is frequently offered to children during wrap-around hours, weather permitting. Three (3) staff members who typically work during wrap-around hours were interviewed separately. All three (3) staff members stated that children were allowed to remove their shoes and jackets when the weather is warm. When it is cool, they encourage children to keep their jackets, socks, and shoes on but would not force them. Due to each child’s needs being unique, staff members must make appropriate determinations to meet their needs to the best of their ability. During today’s visit, children were clothed appropriately. This was observed but not further investigated, as meeting each child’s needs may look different depending on the environment and situation. Allegation Regarding Toileting, Clothing, and Linens: Mx. Anderson and staff members in classrooms where children, three (3) years of age, were enrolled were interviewed regarding program practices. Mx. Anderson stated that staff members are aware of each child’s toileting needs, including who requires frequent reminders to use the bathroom, frequent clothing checks, and whether the child wears underwear, pull-ups, or diapers. Staff members have daily conversations with parents, and necessary strategies are implemented as needed. Mx. Anderson reported receiving one (1) incident in which a parent stated his/her child was wet without being changed. No staff members had reported such incidents to administration. Three (3) staff members who care for children, three (3) years of age, were interviewed. No staff members stated that they had left any children in soiled or wet clothing without changing them. All three (3) staff members stated that they check children frequently for accidents and change them as soon as they notice soiled clothing. One (1) staff member stated that he/she checks one (1) child who is non-verbal every twenty (20) minutes. Mx. Anderson stated that the program requires parents to provide a change of clothes. However, the program also has access to extra donated clothing for the Community Care Closet, which is used as needed. Mx. Anderson added that the program values communication with parents and provides extra supervision, care, and strategies for children who need additional support. During today’s observation, one (1) child, three (3) years of age, had an accident on the playground for two (2)’s. The incident was communicated via radio, and one (1) staff member took the child to the classroom to change. Due to a lack of evidence, the allegation regarding children not being changed as needed was unsubstantiated. Although staff members stated they received one (1) report from one (1) parent regarding wet clothing, they were not aware of any incidents in which children were left unchanged for an extended period of time. Additionally, one (1) child who had an accident on the playground was observed being taken to the classroom and changed during today’s visit. Allegation regarding Good Hygiene: Three (3) staff members were interviewed regarding their hygiene practices. Two (2) staff members stated that they had never received complaints from parents regarding hygiene. When they notice nasal discharge, dirt, or sand on children, they attempt to clean it to the best of their ability. A container of baby wipes is typically included in the backpacks staff members take to the playground. One (1) staff member stated there was an incident when one (1) parent requested his/her child wear a hat. He/she stated that staff members ensure the child wears a hat before transitioning to the playground daily. During today’s observation, many children were observed wearing hats on the playground. During observation, one (1) child who was taken inside to change had two (2) dried nasal discharges on the child’s face. Due to information provided to the Division and observations made during today’s visit, the allegation that children are not assisted in maintaining good hygiene is substantiated. Following violations were documented during today’s visit: Violation Number Comment Rule 1860 Staff did not provide assistance to each child to ensure good hygiene. One (1) child, who was three (3) years of age, had nasal discharge on the face and was not cleaned on undetermined date and time. .0806(e) Technical assistance was provided as follows: 1860: good hygiene Staff members must assist children to ensure good hygiene. To ensure good hygiene, staff must encourage all children to wash their hands upon returning from outside. If children are visibly soiled due to bodily fluid, sand/mud or other elements, staff shall provide tissues, wet wipes, hand sanitizer or other appropriate supplies to clean their face, hands and body. Mx. Anderson plans to have a conversation with each staff members and remind them of good hygiene practice including cleaning children’s faces. Administrative oversight will be provided and additional training will be offered as needed. Achieving Compliance: The violations documented above must be corrected immediately. If you choose to submit a compliance letter or send me a compliance letter describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 3/17/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed the following rule with Mx. Anderson: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (c) Separate play areas or time schedules shall be provided for children under two years of age unless fewer than 15 children of any age are in care. Temperature information was obtained on National Weather Service weather observation records for zip code 28806 at https://forecast.weather.gov . 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0226-294L Visit Date: 3/3/2026 Number Present: 71 Completed Date: 3/3/2026 Age: From 0 To 5 Total Minutes: 213 Time In: 09:47 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Mx. Anderson and Candice Arnold, Administrator assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was Eighty-four (84) percent as of today prior to this visit. The facility operates with a five-star center license issued on 10/25/22. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. The complaint was received by the Division of Child Development and Early Education on 2/26/26 and sent to me on the same day. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and general safety. Allegations within the report included the following: *Children were not changed whenever they become soiled or wet and not on a shift basis. *Staff did not provide assistance to each child to ensure good hygiene. Allegations included that a child was without shoes, socks, or jacket outside on February 25, 2026, and that the child is constantly wet upon pick-up time and staff are not changing the child. The child’s face was not cleaned when soiled with nasal discharge, and sand was present in the child’s hair and scalp area. A walkthrough of the entire center was conducted to include nine (9) classrooms in operation today. Ms. Arnold accompanied me on the walkthrough of the center. The following staff/child ratios and group sizes were verified: • Space #1 (Sassafras) – Eight (8) children, all two (2) years of age, were present with two (2) staff members. • Space #2 (Magnolia) – Eight (8) children, all infants, were present with three (3) staff members. • Space #3 (Willow) – Seven (7) children, all one (1) year of age, were present with two (2) staff members. • Space #4 (Hickory) – Seven (7) children, one (1) to two (2) years of age, were present with two (2) staff members. • Space #5 (Laurel) – Eight (8) children, one (1) to two (2) years of age, were present with two (2) staff members. • Space #6 (Holly) – Six (6) children, all two (2) years old, were present with two (2) staff members. • Space #7 (Hawthorn) – Seven (7) children, two (2) to three (3) years of age, were present with staff members. • Space #9 (Cedar) – Fourteen (14) children, four (4) to five (5) years of age, were present with three (3) staff members. • Space #10 (Chestnut) – Six (6) children, all three (3) years old, were present with two (2) staff members. Children were observed. Fourteen (14) children, four-to-five years of age, from space #9 transitioned from the classroom to the playground. All children had jackets, and some had hats and gloves. The lead teacher conducted head counts while transitioning through the threshold. On the playground for one-year-olds, eight (8) children from space #5 and six (6) children from space #6 were present with six (6) adults. Children, ages one-to-two years old, walked around, explored the outdoor environment, and attempted to pull and push a pretend shopping cart. Out of six (6) adults, four (4) were staff members for space #5 and #6, one (1) provided one-on-one support for a child, and one (1) was a volunteer. No children were barefoot during the visit. Some children had sweatshirts on without jackets. On the playground for two-year-olds, a total of twenty-one (21) children were present with six (6) staff members – seven (7) children from space #7, eight (8) from space #1, and six (6) from space #10. During the observation, one (1) child, who was three (3) years of age, had an accident. A staff member from space #10 radioed the administrator to report the incident and took the child to the classroom to change. All children on this playground had socks, shoes, and jackets. Some had hats as well. The temperature outside at the time of observation was forty-eight (48) degrees. The license was posted, restrictions were followed, and only approved spaces were used. Complaint-Related Investigation Allegation Regarding Appropriate Clothing: According to online sources, the temperature in Asheville, NC, from 11:54 am to 1:54 pm on February 25, 2026, was approximately 60.1 degrees. The temperature was recorded at fifty-two (52) degrees at 16:54 pm in the same area. Mx. Anderson and three (3) staff members who typically work during wrap-around hours were interviewed regarding their playground practices. Per interview with Mx. Anderson, Early Head Start children leave daily at 2:45 pm, and wrap-around care is offered until 5:00 pm at this program. There are staff members who leave at 4:15 pm, 4:30 pm, and 5:00 pm. Depending on the number of children remaining during the last ½ hour to an hour, some groups may be combined. Per Mx. Anderson, outdoor play is frequently offered to children during wrap-around hours, weather permitting. Three (3) staff members who typically work during wrap-around hours were interviewed separately. All three (3) staff members stated that children were allowed to remove their shoes and jackets when the weather is warm. When it is cool, they encourage children to keep their jackets, socks, and shoes on but would not force them. Due to each child’s needs being unique, staff members must make appropriate determinations to meet their needs to the best of their ability. During today’s visit, children were clothed appropriately. This was observed but not further investigated, as meeting each child’s needs may look different depending on the environment and situation. Allegation Regarding Toileting, Clothing, and Linens: Mx. Anderson and staff members in classrooms where children, three (3) years of age, were enrolled were interviewed regarding program practices. Mx. Anderson stated that staff members are aware of each child’s toileting needs, including who requires frequent reminders to use the bathroom, frequent clothing checks, and whether the child wears underwear, pull-ups, or diapers. Staff members have daily conversations with parents, and necessary strategies are implemented as needed. Mx. Anderson reported receiving one (1) incident in which a parent stated his/her child was wet without being changed. No staff members had reported such incidents to administration. Three (3) staff members who care for children, three (3) years of age, were interviewed. No staff members stated that they had left any children in soiled or wet clothing without changing them. All three (3) staff members stated that they check children frequently for accidents and change them as soon as they notice soiled clothing. One (1) staff member stated that he/she checks one (1) child who is non-verbal every twenty (20) minutes. Mx. Anderson stated that the program requires parents to provide a change of clothes. However, the program also has access to extra donated clothing for the Community Care Closet, which is used as needed. Mx. Anderson added that the program values communication with parents and provides extra supervision, care, and strategies for children who need additional support. During today’s observation, one (1) child, three (3) years of age, had an accident on the playground for two (2)’s. The incident was communicated via radio, and one (1) staff member took the child to the classroom to change. Due to a lack of evidence, the allegation regarding children not being changed as needed was unsubstantiated. Although staff members stated they received one (1) report from one (1) parent regarding wet clothing, they were not aware of any incidents in which children were left unchanged for an extended period of time. Additionally, one (1) child who had an accident on the playground was observed being taken to the classroom and changed during today’s visit. Allegation regarding Good Hygiene: Three (3) staff members were interviewed regarding their hygiene practices. Two (2) staff members stated that they had never received complaints from parents regarding hygiene. When they notice nasal discharge, dirt, or sand on children, they attempt to clean it to the best of their ability. A container of baby wipes is typically included in the backpacks staff members take to the playground. One (1) staff member stated there was an incident when one (1) parent requested his/her child wear a hat. He/she stated that staff members ensure the child wears a hat before transitioning to the playground daily. During today’s observation, many children were observed wearing hats on the playground. During observation, one (1) child who was taken inside to change had two (2) dried nasal discharges on the child’s face. Due to information provided to the Division and observations made during today’s visit, the allegation that children are not assisted in maintaining good hygiene is substantiated. Following violations were documented during today’s visit: Violation Number Comment Rule 1860 Staff did not provide assistance to each child to ensure good hygiene. One (1) child, who was three (3) years of age, had nasal discharge on the face and was not cleaned on undetermined date and time. .0806(e) Technical assistance was provided as follows: 1860: good hygiene Staff members must assist children to ensure good hygiene. To ensure good hygiene, staff must encourage all children to wash their hands upon returning from outside. If children are visibly soiled due to bodily fluid, sand/mud or other elements, staff shall provide tissues, wet wipes, hand sanitizer or other appropriate supplies to clean their face, hands and body. Mx. Anderson plans to have a conversation with each staff members and remind them of good hygiene practice including cleaning children’s faces. Administrative oversight will be provided and additional training will be offered as needed. Achieving Compliance: The violations documented above must be corrected immediately. If you choose to submit a compliance letter or send me a compliance letter describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 3/17/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: I reviewed the following rule with Mx. Anderson: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (c) Separate play areas or time schedules shall be provided for children under two years of age unless fewer than 15 children of any age are in care. Temperature information was obtained on National Weather Service weather observation records for zip code 28806 at https://forecast.weather.gov . 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1101 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/25/2026 Number Present: 67 Completed Date: 2/25/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. Karla Terry, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Mx. Anderson and Candice Arnold, co-administrator. Today, Mx. Anderson and Ms. Arnold were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, Verner, is current/active as of 2/23/26. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced space and ratios. The program meets Early Head Start and Head Start staff/child ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 1/30/26. The last lockdown drill was practiced on 1/23/26. The last playground inspection was documented on 11/24/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 7/22/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The EPR plan was last updated on 1/8/26. The approved curriculum is Creative Curriculum. Lead water testing was completed on 4/24/24 without hazards. Lead paint and asbestos testing was completed on 6/27/25. Seventeen (17) staff members were listed on the Automated Background Check Management System (ABCMS) as of 2/23/26. Incident log was completed adequately. Upon arrival, we announced our presence and the purpose of the visit. A walk-through of the classroom was conducted with Mx. Anderson. In space #1 (Sassafras), eight (8) children, all two (2) years old, were present with two (2) staff members. The children had breakfast at the tables. They had Rice cereal, bananas and milk. One (1) child who was allergic to cow milk was served a cup of water. Per Ms. Anderson, the substitute milk was out and could not be served. The child would not be included in the CACFP counts, per statement. Refrigerator was fifty-four (54) degrees upon initial walk-through and fifty-six (56) degrees during the second. In space #2 (Magnolia), eight (8) infants were present with three (3) staff members. Upon arrival, one (1) child was asleep in the crib. One (1) child was fed a bottle and others were on the floor. All children had feeding plans and bottles were labeled with dates and names. Sleep chart for one (1) child was not completed, but it was corrected during the visit. In space #3 (Willow), six (6) children, all one (1) year of age, were present with three (3) staff members. Children played with a large drum and pretend animals. In space #4 (Hickory), eight (8) children, ages one-to-two years of age, were present with three (3) staff members. The children were walking around the classroom with baby dolls, pretend animals and other materials. One (1) child was held and comforted by a staff member when he/she was upset. Children from space #7 (Hawthorn) and #10 (Chestnut) were observed on the one-to-two playground. A total of thirteen (13) children walked around and explored the environment. Four (4) staff members supervised the children. Children from space #6 (Holly) and space #5 (Laurel) were observed on the two-to-three playground. The children played with portable spinners, sand and accessories, toy cars and a climber. The climber is with a critical height of approximately thirty-two (32) inches and possibly unstable. We requested the manufacturer’s instructions for the climber. Per product information, the climber is for ages 2-8 and children need to be attended during use. Space #8 is not licensed and used for Home-Based programs. There were thirteen (13) children, four-to-five years of age, with three (3) staff members. The children transitioned from free play to getting ready for the outdoors. Some children played with materials while others put on their coats. No hazardous products were accessible to the children indoor or outdoor. Diaper creams, sunscreen, over-the-counter medications and prescription medications in all classrooms were monitored. Storage, expiration dates of each product, permission forms, medication logs and action plans were monitored and no violations were found. Lunch was served - BBQ beef, rainbow carrots, pears, jasmine rice, and milk, and all items were listed on the menu. Rest time was observed. Lighting and cot spaces were adequate. One (1) child’s face was covered by blanket in space #5 (Laurel). Supervision and interaction were adequate. Staff files were reviewed during the visit. One (1) new staff and three (3) existing staff files were monitored. Staff member hired 1/5/2026, did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Nine (9) children’s files were reviewed during the visit. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rated License Assessment: Ms. Anderson submitted the Application for Rated License Assessment, Request to use Head Start Accreditation and Staff/Child sheet via email on January 29, 2026. The Staff/Child ratios sheet contained the ratios the program follows for the entire program rather than one (1) specific classroom. The forms were corrected and a staff/child ratio sheet for each classroom was submitted during the visit. The same staff/child ratio sheet was not posted in each classroom yet. We discussed that the ratio sheet must be posted when you transition to the new Rated License. Verner Central Center for Early Learning chose the Head Start Accreditation pathway. The program’s Head Start funding grantee status was verified prior to this visit. Star Level Assessment for Child Care Centers was also signed by Ms. Anderson during the visit. The program uses Creative Curriculum and was reflected on the lesson plans. Developmentally appropriate materials and activities were verified during the visit. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) child’s file was monitored today. The classroom operates from 8 a.m. to 5 p.m. This classroom is used for wrap-around. NC Pre-K hours were 8:30 am - 3:00 pm. 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 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. One (1) child in space #1 was served with a banana, Rice cereals but no milk due to the substitute milk product was not available. 10A NCAC 09 .0901(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. During the first walk-through, the refrigerator temperature was fifty-four (54) degrees in space #1. During the second review, it was fifty-six (56) degrees. 15A NCAC 18A .2806(j)(2) 705 Equipment and furnishings were not sturdy, stable and free of hazards. Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. One (1) child's face was covered by his/her blanket while asleep in space #5. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #10, one (1) outlet on the power strip was not covered by a safety plug. 10A NCAC 09 .0604(c) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections for December 2025 and January 2026 were not completed. .0605(q) 887 Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. In space #1, one (1) child was asleep in the crib and no documentation was made on the sleep check log. .0606(g) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514(f) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. GS110-91(1) 9995 A violation was found for which there is no item number. A container of Aquaphor Healing Ointment was maintained by the power strip in space #10, which was accessible to the children. Technical assistance was provided as follows: 501: Nutrition All components set by USDA must be served to the children. Please serve a minimum of three (3) components to the children for breakfast. Per Mx. Anderson, the program will offer the third components to the children, such as second fruits/vegetables, cheese sticks, yogurt, etc., moving forward. Rule reference .0901(a) 601: Refrigerator temperature In space #1, refrigerator was measured for fifty-four (54) degrees. You must identify if the thermometer is broken or the chiller on the refrigerator is broken. Then, replace/repair the broken equipment accordingly. Per Mx. Anderson, all food in the refrigerator will be removed and maintained in the kitchen until the issue is resolved. She is planning to identify the cause - either the thermometer or the chiller. The equipment will be replaced and/or repaired accordingly. Rule reference: 15A NCAC 18A.2806(j)(2) 705: safe equipment Three (3) bolts on the fence near the gates on the Pre-K playground were protruding approximately ¾ inch to 1 inch toward the playground side. All protrusions must be addressed. The bolts can be covered or cut. Per Mx. Anderson, a work order would be placed to cut all the protruding bolts on the playground. Refer to .0601(c). 807: Safe environment Children’s faces must be uncovered if they are covered by blankets and other materials during rest time. The staff member in space #5 uncovered a child’s face at my request. Therefore, this item is corrected during the visit. Per Mx. Anderson, she plans to re-train the staff member for safe sleep practice. Rule reference: .0601(a) 812: outlets Outlets must be covered by safety covers. Mx. Anderson placed the safety covers on the outlet on the power strip in space #10. Therefore, this item was corrected during the visit. Rule reference: .0604(c) 859: playground inspections Playground inspection must be completed monthly. Per Mx. Anderson, she would complete three (3) inspections this month, one (1) for December 2025, one (1) is for January 2026 and one (1) for February 2026. Rule reference: 0605(q) 887: sleep check A safe sleep chart must be completed for all infants. A sleep chart was filled out for one (1) child who was already asleep in the crib during observation. Three (3) additional children were placed in the crib, and the sleep chart was also completed during the visit. Therefore, the violation was corrected during the visit. Item 1045- Staff member hired 1/5/2026 did not receive at least sixteen (16) hours of orientation within the first six (6) weeks. Documentation of orientation did not document all sixteen (16) hours of orientation within the first six (6) weeks. Orientation was due to be completed by 2/16/2026. We discussed printing the documentation of orientation form to complete after each orientation training date. Rule Reference: 10A NCAC 09 .1101 (a) Item 1067- Staff member hired 1/5/2026 did not complete, within the first two (2) weeks of employment, six (6) clock hours of training in required topic areas. Documentation of orientation did not document all six (6) hours within the first two (2) weeks. Orientation was due to be completed by 1/19/2026. Rule Reference: 10A NCAC 09 .1101(a)(b) Item 1232- Staff member hired 8/25/2022 personnel file did not contain an annual staff evaluation and a staff development plan. Administrator stated human resources houses all the staff evaluations and professional development plans. We discussed that the administrator needs to be able to access the staff evaluations and professional development plans during visits. The administrator reached out to human resources for a copy, but did not receive a copy during the visit. Rule Reference:10A NCAC 09 .0514(f) Item 1321- Child enrolled 6/2/2025 medical report was dated 10/31/2023. The medical report was more than twelve (12) months old at the time of enrollment. We discussed moving forward, staff will need to review all medical report dates closely to ensure the medical report is no more than twelve (12) months old at the time of enrollment or have a new medical report completed and submitted within thirty (30) days of enrollment. Rule Reference: GS 110-91(1) 9995: Over-the-counter creams Over-the-counter diaper creams and other products must be maintained inaccessible to the children. Mx. Anderson removed Aquaphor Healing Ointment and put it in the locked cabinet. Therefore, this item is corrected during the visit. Rule Reference 15 NCAC 09 NCAC .2820(c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: · Facility name · Facility ID# · Date of visit · Violation item number · Signed statement of compliance I must receive your compliance statement by 3/11/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Next Rated License Assessment: All violations must be corrected prior to the Rated License Assessment being processed. Based on verification of requirements in the Head Start Accreditation pathway, section .3205 of the child care rules, a five-star license will be earned, though it is not guaranteed the star level until all documentations are reviewed and approved. After final review, a different star level may be determined. Any discrepancies would be reviewed with you. A rated license is evaluated every three years and the facility will be due again for a rated license assessment by March 2029. At each annual compliance visit, rated license components chosen will be monitored for meeting compliance. 10A NCAC 09 .3222 MAINTAINING THE STAR RATING. Reminder: The following item will expire in coming month: Boudreaux’s Butt Paste will expire in March 2026. Nutrition requirements: On the menu, please specify the names of cereal on the menu so that parents can have information on allergens. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/5/2025 Number Present: 40 Completed Date: 8/5/2025 Age: From 0 To 5 Total Minutes: 356 Time In: 09:04 AM Time Out: 03:00 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 me, Kaoru Eddins Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Anderson was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – Five-star center license issued on 11/3/23. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 7/31/25. The last lockdown drill was practiced on 7/25/25. The last playground inspection was documented on 7/31/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 3/7/25 with twenty-one (21) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old is Creative Curriculum. Lead water test was completed on 4/24/24 without hazards. Lead paint and asbestos test was completed on 6/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, two-to-three years of age, were present with two (2) staff members. The children played with dirt table and pretended to cook. One (1) emergency medication was maintained with over-the-counter creams were maintained. In space #2 a group of four (4) infants had breakfast. Two (2) staff members sat with the children and supervised the meal time. The children had apple sauce, milk and Cheerios. One (1) child was on emergency medication, and several over-the-counter creams were monitored. One (1) of the feeding plans was not signed by the parent. One of the over-the-counter creams was expired. The refrigerator temperature was measured at fifty (50) degrees. I returned to the classroom approximately an hour later, but the temperature still showed fifty (50) degrees. In space #3, a group of five (5) children, all one (1) year of age, were present with two (2) staff members. The children walked around the classroom and played with puzzles and other materials. One (1) of the over-the-counter creams was expired. Per staff member, one (1) of the children rest in a shallow crib, though the child was able to pull up. We discussed lowering the crib so that the child does not fall upon pulling up in the crib. Diaper changing was appropriately followed. In space #4, a group of seven (7) children, one (1) to two (2) years of age, had breakfast. The children had rice cereal, apple sauce and milk. After breakfast, the children brushed their teeth with teacher prompts and transitioned to free play. Electrical cords of two (2) lamps were accessible to the children. Two (2) prescription cream/ointment along with other over-the-counter creams were maintained in a locked box. We discussed using the appropriate permission forms for prescription medications. Additionally, a bottle of children’s Tylenol was maintained in the backpack. The medication was prescribed as part of seizure action plan. I reviewed the seizure action plan, but there were no detailed instructions included in the plan, including special instructions and side effects. The medication was marked as an emergency medication for febrile seizure caused by fever. However, no additional guidance on what temperature being considered fever for this child and or when the medication should be administered were included. This medication, due to being fever reduced, may or may not be used as a preventive medication rather than emergency medication. Typically, during seizure, no food or drink is allowed to be provided to the person. The correct use of this medication must be clarified. If this medication is preventive, the medication shall be maintained in a locked storage. These concerns were discussed with Ms. Anderson during monitoring. Seven (7) children, all two (2) years old, played on the playground. The children rode riding cars, tricycles and pushed riding cars. Supervision and interaction were adequate. In space #5, over-the-counter creams were monitored. Four (4) children in space #6 played on the playground. Four (4) children from space #7 also played on the playground. The children enjoyed spinners, toy vehicles, mud kitchen, sand and tricycles. In space #6, four (4) emergency medications were maintained in the backpack. One (1) of the medications, an inhaler, expired in July 2025. The medication had not been administered since 5/6/25. The permission form for Orajel Kids training toothpaste expired on 8/3/25. In space #7, prescription and over-the-counter creams were monitored. Ms. Anderson and I discussed the use of appropriate forms for prescription items. Additional consultations were provided during today’s visit. Five (5) children from space #9 played on the playground. The children rode tricycles and bicycles. One (1) child was on inhaler. This inhaler expired in March 2025. In space #9, no over-the-counter topicals were maintained. Space #8 was used by the Home-Based program and a not licensed space. #10, #11 were not used during today’s visit. Thirty-five (35) existing staff files were monitored for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates if required. Four (4) new staff files were monitored in full. Rest time was monitored in all classrooms. Supervision and interaction were adequate. There were no safety hazards being observed on the playgrounds. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #2, a bottle maintained in the refrigerator was not labeled with child's name or a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan in space #2 was not signed by the parent. The child was approximately eleven (11) months old. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, refrigerator temperature was approximately fifty (50) degrees. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In space #3, four (4) children's faces were completely covered under their blankets. All four (4) children were one (1) year old. Three (3) children were on their cots, one (1) child was in the crib. Additionally, one (1) child, who was one (1) year old and able to pull self up was asleep in a shallow crib with approximately twelve (12) inches in railing height. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, five outlets on the extension cord on top of teacher cabinet by a window was not covered by safety covers. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In space #4, a long white cords for a lamp was accessible to the children, as young as one (1) year old by the window. A short black cord for another lamp on top of children's cubbies was also accessible to the children in the same room. In space #2, electrical cords by the refrigerator was accessible to infants and children who was one (1) year old. 10A NCAC 09 .0604(f) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, Aquaphor cream expired in July 2025. In space 33, a container of Destin Maximum Strength expired in May 2025. In space #6, a container of Destin maximum strength expired in May, 2025. Albuterol inhaler for a child also expired in July, 2025. In space #9, an inhaler for a child expired in March 2025. .0803(12) Technical assistance was provided as follows: 533: beverages from home All beverages sent from home must be labeled with child’s name and date. Refer to 15A NCAC 18A .2803(d). To comply, communicate with your staff members and parents regarding this rule. The staff members should review each child’s beverages each morning to make sure that they are labeled appropriately. Please include the date of review in your compliance letter. 541: Feeding plan The written feeding plan must be signed by parents and posted in each classroom for all children under fifteen (15) months of age. Refer to .0902(a). To comply, please obtain a signature of parent and post the feeding plan. In your compliance letter, please note the date you achieve the compliance. 601: Refrigerator temperature Refrigerator must remain forty-five (45) degree or under. Refer to 15A NCAC 18A .2806(j)(2). To comply, please test the thermometer to make sure that it is in working order. Additionally, please adjust the fridge temperature to forty-five (45) degree or lower. In your compliance letter, please note the date you achieve the compliance. 807: safe environment During rest time, children’s faces must not be covered by blankets. If children cover themselves, staff members must remove the blankets when they fall asleep. Additionally, crib baseboard must be lower when children who use them can pull themselves up to prevent them from falling. Refer to .0601(a). This item was corrected during the visit. 812: Electrical outlets Electrical outlets accessible to children (five feet and under) must be covered with safety covers unless the outlets are tampered. Refer to .0604(c). To comply, cover all unused outlets with safety covers. In your compliance letter, please note the date you achieve the compliance. 815: Electrical cord Electrical cords must be inaccessible to infants and toddlers to prevent strangulation hazards. Refer to .0604(f). To comply, you can install electrical cord covers or hide the cords behind furniture. You can also remove the lamps from the classroom. In your compliance letter, please specify the action you have taken. 849: Expired authorization form/expired medication Medication must be discarded or returned home within seventy-two (72) hours of the permission form being expired or the medication themselves expired. Refer to .0803(12). To comply, please return the medication or cream to the parents or obtain new permission form. In your compliance letter, please note the date you achieve the compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/19/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: Please continue to work on your program roster on the ABCMS system. Medication permission forms: The short (half paper) forms are only for over-the-counter topicals. The form is not for any type of prescription. The full-page permission form must be used for all prescriptions, and the use of the medication must be logged. Only one (1) medication and/or a topicals can be listed on one (1) form. Moving forward, these items will be cited as violations. Hot equipment and pavement: When equipment or pavement is too hot, children must not be barefooted. Young children may not be able to make the correct decisions to prevent injuries themselves. It is the staff members’ responsibilities to direct children and prevent injuries at the best of their abilities. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/5/2025 Number Present: 40 Completed Date: 8/5/2025 Age: From 0 To 5 Total Minutes: 356 Time In: 09:04 AM Time Out: 03:00 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 me, Kaoru Eddins Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Anderson was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – Five-star center license issued on 11/3/23. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 7/31/25. The last lockdown drill was practiced on 7/25/25. The last playground inspection was documented on 7/31/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 3/7/25 with twenty-one (21) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old is Creative Curriculum. Lead water test was completed on 4/24/24 without hazards. Lead paint and asbestos test was completed on 6/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, two-to-three years of age, were present with two (2) staff members. The children played with dirt table and pretended to cook. One (1) emergency medication was maintained with over-the-counter creams were maintained. In space #2 a group of four (4) infants had breakfast. Two (2) staff members sat with the children and supervised the meal time. The children had apple sauce, milk and Cheerios. One (1) child was on emergency medication, and several over-the-counter creams were monitored. One (1) of the feeding plans was not signed by the parent. One of the over-the-counter creams was expired. The refrigerator temperature was measured at fifty (50) degrees. I returned to the classroom approximately an hour later, but the temperature still showed fifty (50) degrees. In space #3, a group of five (5) children, all one (1) year of age, were present with two (2) staff members. The children walked around the classroom and played with puzzles and other materials. One (1) of the over-the-counter creams was expired. Per staff member, one (1) of the children rest in a shallow crib, though the child was able to pull up. We discussed lowering the crib so that the child does not fall upon pulling up in the crib. Diaper changing was appropriately followed. In space #4, a group of seven (7) children, one (1) to two (2) years of age, had breakfast. The children had rice cereal, apple sauce and milk. After breakfast, the children brushed their teeth with teacher prompts and transitioned to free play. Electrical cords of two (2) lamps were accessible to the children. Two (2) prescription cream/ointment along with other over-the-counter creams were maintained in a locked box. We discussed using the appropriate permission forms for prescription medications. Additionally, a bottle of children’s Tylenol was maintained in the backpack. The medication was prescribed as part of seizure action plan. I reviewed the seizure action plan, but there were no detailed instructions included in the plan, including special instructions and side effects. The medication was marked as an emergency medication for febrile seizure caused by fever. However, no additional guidance on what temperature being considered fever for this child and or when the medication should be administered were included. This medication, due to being fever reduced, may or may not be used as a preventive medication rather than emergency medication. Typically, during seizure, no food or drink is allowed to be provided to the person. The correct use of this medication must be clarified. If this medication is preventive, the medication shall be maintained in a locked storage. These concerns were discussed with Ms. Anderson during monitoring. Seven (7) children, all two (2) years old, played on the playground. The children rode riding cars, tricycles and pushed riding cars. Supervision and interaction were adequate. In space #5, over-the-counter creams were monitored. Four (4) children in space #6 played on the playground. Four (4) children from space #7 also played on the playground. The children enjoyed spinners, toy vehicles, mud kitchen, sand and tricycles. In space #6, four (4) emergency medications were maintained in the backpack. One (1) of the medications, an inhaler, expired in July 2025. The medication had not been administered since 5/6/25. The permission form for Orajel Kids training toothpaste expired on 8/3/25. In space #7, prescription and over-the-counter creams were monitored. Ms. Anderson and I discussed the use of appropriate forms for prescription items. Additional consultations were provided during today’s visit. Five (5) children from space #9 played on the playground. The children rode tricycles and bicycles. One (1) child was on inhaler. This inhaler expired in March 2025. In space #9, no over-the-counter topicals were maintained. Space #8 was used by the Home-Based program and a not licensed space. #10, #11 were not used during today’s visit. Thirty-five (35) existing staff files were monitored for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates if required. Four (4) new staff files were monitored in full. Rest time was monitored in all classrooms. Supervision and interaction were adequate. There were no safety hazards being observed on the playgrounds. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #2, a bottle maintained in the refrigerator was not labeled with child's name or a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan in space #2 was not signed by the parent. The child was approximately eleven (11) months old. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, refrigerator temperature was approximately fifty (50) degrees. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In space #3, four (4) children's faces were completely covered under their blankets. All four (4) children were one (1) year old. Three (3) children were on their cots, one (1) child was in the crib. Additionally, one (1) child, who was one (1) year old and able to pull self up was asleep in a shallow crib with approximately twelve (12) inches in railing height. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, five outlets on the extension cord on top of teacher cabinet by a window was not covered by safety covers. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In space #4, a long white cords for a lamp was accessible to the children, as young as one (1) year old by the window. A short black cord for another lamp on top of children's cubbies was also accessible to the children in the same room. In space #2, electrical cords by the refrigerator was accessible to infants and children who was one (1) year old. 10A NCAC 09 .0604(f) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, Aquaphor cream expired in July 2025. In space 33, a container of Destin Maximum Strength expired in May 2025. In space #6, a container of Destin maximum strength expired in May, 2025. Albuterol inhaler for a child also expired in July, 2025. In space #9, an inhaler for a child expired in March 2025. .0803(12) Technical assistance was provided as follows: 533: beverages from home All beverages sent from home must be labeled with child’s name and date. Refer to 15A NCAC 18A .2803(d). To comply, communicate with your staff members and parents regarding this rule. The staff members should review each child’s beverages each morning to make sure that they are labeled appropriately. Please include the date of review in your compliance letter. 541: Feeding plan The written feeding plan must be signed by parents and posted in each classroom for all children under fifteen (15) months of age. Refer to .0902(a). To comply, please obtain a signature of parent and post the feeding plan. In your compliance letter, please note the date you achieve the compliance. 601: Refrigerator temperature Refrigerator must remain forty-five (45) degree or under. Refer to 15A NCAC 18A .2806(j)(2). To comply, please test the thermometer to make sure that it is in working order. Additionally, please adjust the fridge temperature to forty-five (45) degree or lower. In your compliance letter, please note the date you achieve the compliance. 807: safe environment During rest time, children’s faces must not be covered by blankets. If children cover themselves, staff members must remove the blankets when they fall asleep. Additionally, crib baseboard must be lower when children who use them can pull themselves up to prevent them from falling. Refer to .0601(a). This item was corrected during the visit. 812: Electrical outlets Electrical outlets accessible to children (five feet and under) must be covered with safety covers unless the outlets are tampered. Refer to .0604(c). To comply, cover all unused outlets with safety covers. In your compliance letter, please note the date you achieve the compliance. 815: Electrical cord Electrical cords must be inaccessible to infants and toddlers to prevent strangulation hazards. Refer to .0604(f). To comply, you can install electrical cord covers or hide the cords behind furniture. You can also remove the lamps from the classroom. In your compliance letter, please specify the action you have taken. 849: Expired authorization form/expired medication Medication must be discarded or returned home within seventy-two (72) hours of the permission form being expired or the medication themselves expired. Refer to .0803(12). To comply, please return the medication or cream to the parents or obtain new permission form. In your compliance letter, please note the date you achieve the compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/19/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: Please continue to work on your program roster on the ABCMS system. Medication permission forms: The short (half paper) forms are only for over-the-counter topicals. The form is not for any type of prescription. The full-page permission form must be used for all prescriptions, and the use of the medication must be logged. Only one (1) medication and/or a topicals can be listed on one (1) form. Moving forward, these items will be cited as violations. Hot equipment and pavement: When equipment or pavement is too hot, children must not be barefooted. Young children may not be able to make the correct decisions to prevent injuries themselves. It is the staff members’ responsibilities to direct children and prevent injuries at the best of their abilities. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/5/2025 Number Present: 40 Completed Date: 8/5/2025 Age: From 0 To 5 Total Minutes: 356 Time In: 09:04 AM Time Out: 03:00 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 me, Kaoru Eddins Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Anderson was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – Five-star center license issued on 11/3/23. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 7/31/25. The last lockdown drill was practiced on 7/25/25. The last playground inspection was documented on 7/31/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 3/7/25 with twenty-one (21) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old is Creative Curriculum. Lead water test was completed on 4/24/24 without hazards. Lead paint and asbestos test was completed on 6/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, two-to-three years of age, were present with two (2) staff members. The children played with dirt table and pretended to cook. One (1) emergency medication was maintained with over-the-counter creams were maintained. In space #2 a group of four (4) infants had breakfast. Two (2) staff members sat with the children and supervised the meal time. The children had apple sauce, milk and Cheerios. One (1) child was on emergency medication, and several over-the-counter creams were monitored. One (1) of the feeding plans was not signed by the parent. One of the over-the-counter creams was expired. The refrigerator temperature was measured at fifty (50) degrees. I returned to the classroom approximately an hour later, but the temperature still showed fifty (50) degrees. In space #3, a group of five (5) children, all one (1) year of age, were present with two (2) staff members. The children walked around the classroom and played with puzzles and other materials. One (1) of the over-the-counter creams was expired. Per staff member, one (1) of the children rest in a shallow crib, though the child was able to pull up. We discussed lowering the crib so that the child does not fall upon pulling up in the crib. Diaper changing was appropriately followed. In space #4, a group of seven (7) children, one (1) to two (2) years of age, had breakfast. The children had rice cereal, apple sauce and milk. After breakfast, the children brushed their teeth with teacher prompts and transitioned to free play. Electrical cords of two (2) lamps were accessible to the children. Two (2) prescription cream/ointment along with other over-the-counter creams were maintained in a locked box. We discussed using the appropriate permission forms for prescription medications. Additionally, a bottle of children’s Tylenol was maintained in the backpack. The medication was prescribed as part of seizure action plan. I reviewed the seizure action plan, but there were no detailed instructions included in the plan, including special instructions and side effects. The medication was marked as an emergency medication for febrile seizure caused by fever. However, no additional guidance on what temperature being considered fever for this child and or when the medication should be administered were included. This medication, due to being fever reduced, may or may not be used as a preventive medication rather than emergency medication. Typically, during seizure, no food or drink is allowed to be provided to the person. The correct use of this medication must be clarified. If this medication is preventive, the medication shall be maintained in a locked storage. These concerns were discussed with Ms. Anderson during monitoring. Seven (7) children, all two (2) years old, played on the playground. The children rode riding cars, tricycles and pushed riding cars. Supervision and interaction were adequate. In space #5, over-the-counter creams were monitored. Four (4) children in space #6 played on the playground. Four (4) children from space #7 also played on the playground. The children enjoyed spinners, toy vehicles, mud kitchen, sand and tricycles. In space #6, four (4) emergency medications were maintained in the backpack. One (1) of the medications, an inhaler, expired in July 2025. The medication had not been administered since 5/6/25. The permission form for Orajel Kids training toothpaste expired on 8/3/25. In space #7, prescription and over-the-counter creams were monitored. Ms. Anderson and I discussed the use of appropriate forms for prescription items. Additional consultations were provided during today’s visit. Five (5) children from space #9 played on the playground. The children rode tricycles and bicycles. One (1) child was on inhaler. This inhaler expired in March 2025. In space #9, no over-the-counter topicals were maintained. Space #8 was used by the Home-Based program and a not licensed space. #10, #11 were not used during today’s visit. Thirty-five (35) existing staff files were monitored for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates if required. Four (4) new staff files were monitored in full. Rest time was monitored in all classrooms. Supervision and interaction were adequate. There were no safety hazards being observed on the playgrounds. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #2, a bottle maintained in the refrigerator was not labeled with child's name or a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan in space #2 was not signed by the parent. The child was approximately eleven (11) months old. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, refrigerator temperature was approximately fifty (50) degrees. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In space #3, four (4) children's faces were completely covered under their blankets. All four (4) children were one (1) year old. Three (3) children were on their cots, one (1) child was in the crib. Additionally, one (1) child, who was one (1) year old and able to pull self up was asleep in a shallow crib with approximately twelve (12) inches in railing height. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, five outlets on the extension cord on top of teacher cabinet by a window was not covered by safety covers. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In space #4, a long white cords for a lamp was accessible to the children, as young as one (1) year old by the window. A short black cord for another lamp on top of children's cubbies was also accessible to the children in the same room. In space #2, electrical cords by the refrigerator was accessible to infants and children who was one (1) year old. 10A NCAC 09 .0604(f) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, Aquaphor cream expired in July 2025. In space 33, a container of Destin Maximum Strength expired in May 2025. In space #6, a container of Destin maximum strength expired in May, 2025. Albuterol inhaler for a child also expired in July, 2025. In space #9, an inhaler for a child expired in March 2025. .0803(12) Technical assistance was provided as follows: 533: beverages from home All beverages sent from home must be labeled with child’s name and date. Refer to 15A NCAC 18A .2803(d). To comply, communicate with your staff members and parents regarding this rule. The staff members should review each child’s beverages each morning to make sure that they are labeled appropriately. Please include the date of review in your compliance letter. 541: Feeding plan The written feeding plan must be signed by parents and posted in each classroom for all children under fifteen (15) months of age. Refer to .0902(a). To comply, please obtain a signature of parent and post the feeding plan. In your compliance letter, please note the date you achieve the compliance. 601: Refrigerator temperature Refrigerator must remain forty-five (45) degree or under. Refer to 15A NCAC 18A .2806(j)(2). To comply, please test the thermometer to make sure that it is in working order. Additionally, please adjust the fridge temperature to forty-five (45) degree or lower. In your compliance letter, please note the date you achieve the compliance. 807: safe environment During rest time, children’s faces must not be covered by blankets. If children cover themselves, staff members must remove the blankets when they fall asleep. Additionally, crib baseboard must be lower when children who use them can pull themselves up to prevent them from falling. Refer to .0601(a). This item was corrected during the visit. 812: Electrical outlets Electrical outlets accessible to children (five feet and under) must be covered with safety covers unless the outlets are tampered. Refer to .0604(c). To comply, cover all unused outlets with safety covers. In your compliance letter, please note the date you achieve the compliance. 815: Electrical cord Electrical cords must be inaccessible to infants and toddlers to prevent strangulation hazards. Refer to .0604(f). To comply, you can install electrical cord covers or hide the cords behind furniture. You can also remove the lamps from the classroom. In your compliance letter, please specify the action you have taken. 849: Expired authorization form/expired medication Medication must be discarded or returned home within seventy-two (72) hours of the permission form being expired or the medication themselves expired. Refer to .0803(12). To comply, please return the medication or cream to the parents or obtain new permission form. In your compliance letter, please note the date you achieve the compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/19/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: Please continue to work on your program roster on the ABCMS system. Medication permission forms: The short (half paper) forms are only for over-the-counter topicals. The form is not for any type of prescription. The full-page permission form must be used for all prescriptions, and the use of the medication must be logged. Only one (1) medication and/or a topicals can be listed on one (1) form. Moving forward, these items will be cited as violations. Hot equipment and pavement: When equipment or pavement is too hot, children must not be barefooted. Young children may not be able to make the correct decisions to prevent injuries themselves. It is the staff members’ responsibilities to direct children and prevent injuries at the best of their abilities. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/5/2025 Number Present: 40 Completed Date: 8/5/2025 Age: From 0 To 5 Total Minutes: 356 Time In: 09:04 AM Time Out: 03:00 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 me, Kaoru Eddins Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Anderson was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – Five-star center license issued on 11/3/23. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 7/31/25. The last lockdown drill was practiced on 7/25/25. The last playground inspection was documented on 7/31/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 3/7/25 with twenty-one (21) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old is Creative Curriculum. Lead water test was completed on 4/24/24 without hazards. Lead paint and asbestos test was completed on 6/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, two-to-three years of age, were present with two (2) staff members. The children played with dirt table and pretended to cook. One (1) emergency medication was maintained with over-the-counter creams were maintained. In space #2 a group of four (4) infants had breakfast. Two (2) staff members sat with the children and supervised the meal time. The children had apple sauce, milk and Cheerios. One (1) child was on emergency medication, and several over-the-counter creams were monitored. One (1) of the feeding plans was not signed by the parent. One of the over-the-counter creams was expired. The refrigerator temperature was measured at fifty (50) degrees. I returned to the classroom approximately an hour later, but the temperature still showed fifty (50) degrees. In space #3, a group of five (5) children, all one (1) year of age, were present with two (2) staff members. The children walked around the classroom and played with puzzles and other materials. One (1) of the over-the-counter creams was expired. Per staff member, one (1) of the children rest in a shallow crib, though the child was able to pull up. We discussed lowering the crib so that the child does not fall upon pulling up in the crib. Diaper changing was appropriately followed. In space #4, a group of seven (7) children, one (1) to two (2) years of age, had breakfast. The children had rice cereal, apple sauce and milk. After breakfast, the children brushed their teeth with teacher prompts and transitioned to free play. Electrical cords of two (2) lamps were accessible to the children. Two (2) prescription cream/ointment along with other over-the-counter creams were maintained in a locked box. We discussed using the appropriate permission forms for prescription medications. Additionally, a bottle of children’s Tylenol was maintained in the backpack. The medication was prescribed as part of seizure action plan. I reviewed the seizure action plan, but there were no detailed instructions included in the plan, including special instructions and side effects. The medication was marked as an emergency medication for febrile seizure caused by fever. However, no additional guidance on what temperature being considered fever for this child and or when the medication should be administered were included. This medication, due to being fever reduced, may or may not be used as a preventive medication rather than emergency medication. Typically, during seizure, no food or drink is allowed to be provided to the person. The correct use of this medication must be clarified. If this medication is preventive, the medication shall be maintained in a locked storage. These concerns were discussed with Ms. Anderson during monitoring. Seven (7) children, all two (2) years old, played on the playground. The children rode riding cars, tricycles and pushed riding cars. Supervision and interaction were adequate. In space #5, over-the-counter creams were monitored. Four (4) children in space #6 played on the playground. Four (4) children from space #7 also played on the playground. The children enjoyed spinners, toy vehicles, mud kitchen, sand and tricycles. In space #6, four (4) emergency medications were maintained in the backpack. One (1) of the medications, an inhaler, expired in July 2025. The medication had not been administered since 5/6/25. The permission form for Orajel Kids training toothpaste expired on 8/3/25. In space #7, prescription and over-the-counter creams were monitored. Ms. Anderson and I discussed the use of appropriate forms for prescription items. Additional consultations were provided during today’s visit. Five (5) children from space #9 played on the playground. The children rode tricycles and bicycles. One (1) child was on inhaler. This inhaler expired in March 2025. In space #9, no over-the-counter topicals were maintained. Space #8 was used by the Home-Based program and a not licensed space. #10, #11 were not used during today’s visit. Thirty-five (35) existing staff files were monitored for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates if required. Four (4) new staff files were monitored in full. Rest time was monitored in all classrooms. Supervision and interaction were adequate. There were no safety hazards being observed on the playgrounds. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #2, a bottle maintained in the refrigerator was not labeled with child's name or a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan in space #2 was not signed by the parent. The child was approximately eleven (11) months old. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, refrigerator temperature was approximately fifty (50) degrees. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In space #3, four (4) children's faces were completely covered under their blankets. All four (4) children were one (1) year old. Three (3) children were on their cots, one (1) child was in the crib. Additionally, one (1) child, who was one (1) year old and able to pull self up was asleep in a shallow crib with approximately twelve (12) inches in railing height. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, five outlets on the extension cord on top of teacher cabinet by a window was not covered by safety covers. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In space #4, a long white cords for a lamp was accessible to the children, as young as one (1) year old by the window. A short black cord for another lamp on top of children's cubbies was also accessible to the children in the same room. In space #2, electrical cords by the refrigerator was accessible to infants and children who was one (1) year old. 10A NCAC 09 .0604(f) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, Aquaphor cream expired in July 2025. In space 33, a container of Destin Maximum Strength expired in May 2025. In space #6, a container of Destin maximum strength expired in May, 2025. Albuterol inhaler for a child also expired in July, 2025. In space #9, an inhaler for a child expired in March 2025. .0803(12) Technical assistance was provided as follows: 533: beverages from home All beverages sent from home must be labeled with child’s name and date. Refer to 15A NCAC 18A .2803(d). To comply, communicate with your staff members and parents regarding this rule. The staff members should review each child’s beverages each morning to make sure that they are labeled appropriately. Please include the date of review in your compliance letter. 541: Feeding plan The written feeding plan must be signed by parents and posted in each classroom for all children under fifteen (15) months of age. Refer to .0902(a). To comply, please obtain a signature of parent and post the feeding plan. In your compliance letter, please note the date you achieve the compliance. 601: Refrigerator temperature Refrigerator must remain forty-five (45) degree or under. Refer to 15A NCAC 18A .2806(j)(2). To comply, please test the thermometer to make sure that it is in working order. Additionally, please adjust the fridge temperature to forty-five (45) degree or lower. In your compliance letter, please note the date you achieve the compliance. 807: safe environment During rest time, children’s faces must not be covered by blankets. If children cover themselves, staff members must remove the blankets when they fall asleep. Additionally, crib baseboard must be lower when children who use them can pull themselves up to prevent them from falling. Refer to .0601(a). This item was corrected during the visit. 812: Electrical outlets Electrical outlets accessible to children (five feet and under) must be covered with safety covers unless the outlets are tampered. Refer to .0604(c). To comply, cover all unused outlets with safety covers. In your compliance letter, please note the date you achieve the compliance. 815: Electrical cord Electrical cords must be inaccessible to infants and toddlers to prevent strangulation hazards. Refer to .0604(f). To comply, you can install electrical cord covers or hide the cords behind furniture. You can also remove the lamps from the classroom. In your compliance letter, please specify the action you have taken. 849: Expired authorization form/expired medication Medication must be discarded or returned home within seventy-two (72) hours of the permission form being expired or the medication themselves expired. Refer to .0803(12). To comply, please return the medication or cream to the parents or obtain new permission form. In your compliance letter, please note the date you achieve the compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/19/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: Please continue to work on your program roster on the ABCMS system. Medication permission forms: The short (half paper) forms are only for over-the-counter topicals. The form is not for any type of prescription. The full-page permission form must be used for all prescriptions, and the use of the medication must be logged. Only one (1) medication and/or a topicals can be listed on one (1) form. Moving forward, these items will be cited as violations. Hot equipment and pavement: When equipment or pavement is too hot, children must not be barefooted. Young children may not be able to make the correct decisions to prevent injuries themselves. It is the staff members’ responsibilities to direct children and prevent injuries at the best of their abilities. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/5/2025 Number Present: 40 Completed Date: 8/5/2025 Age: From 0 To 5 Total Minutes: 356 Time In: 09:04 AM Time Out: 03:00 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 me, Kaoru Eddins Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Anderson was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – Five-star center license issued on 11/3/23. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 7/31/25. The last lockdown drill was practiced on 7/25/25. The last playground inspection was documented on 7/31/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 3/7/25 with twenty-one (21) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old is Creative Curriculum. Lead water test was completed on 4/24/24 without hazards. Lead paint and asbestos test was completed on 6/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, two-to-three years of age, were present with two (2) staff members. The children played with dirt table and pretended to cook. One (1) emergency medication was maintained with over-the-counter creams were maintained. In space #2 a group of four (4) infants had breakfast. Two (2) staff members sat with the children and supervised the meal time. The children had apple sauce, milk and Cheerios. One (1) child was on emergency medication, and several over-the-counter creams were monitored. One (1) of the feeding plans was not signed by the parent. One of the over-the-counter creams was expired. The refrigerator temperature was measured at fifty (50) degrees. I returned to the classroom approximately an hour later, but the temperature still showed fifty (50) degrees. In space #3, a group of five (5) children, all one (1) year of age, were present with two (2) staff members. The children walked around the classroom and played with puzzles and other materials. One (1) of the over-the-counter creams was expired. Per staff member, one (1) of the children rest in a shallow crib, though the child was able to pull up. We discussed lowering the crib so that the child does not fall upon pulling up in the crib. Diaper changing was appropriately followed. In space #4, a group of seven (7) children, one (1) to two (2) years of age, had breakfast. The children had rice cereal, apple sauce and milk. After breakfast, the children brushed their teeth with teacher prompts and transitioned to free play. Electrical cords of two (2) lamps were accessible to the children. Two (2) prescription cream/ointment along with other over-the-counter creams were maintained in a locked box. We discussed using the appropriate permission forms for prescription medications. Additionally, a bottle of children’s Tylenol was maintained in the backpack. The medication was prescribed as part of seizure action plan. I reviewed the seizure action plan, but there were no detailed instructions included in the plan, including special instructions and side effects. The medication was marked as an emergency medication for febrile seizure caused by fever. However, no additional guidance on what temperature being considered fever for this child and or when the medication should be administered were included. This medication, due to being fever reduced, may or may not be used as a preventive medication rather than emergency medication. Typically, during seizure, no food or drink is allowed to be provided to the person. The correct use of this medication must be clarified. If this medication is preventive, the medication shall be maintained in a locked storage. These concerns were discussed with Ms. Anderson during monitoring. Seven (7) children, all two (2) years old, played on the playground. The children rode riding cars, tricycles and pushed riding cars. Supervision and interaction were adequate. In space #5, over-the-counter creams were monitored. Four (4) children in space #6 played on the playground. Four (4) children from space #7 also played on the playground. The children enjoyed spinners, toy vehicles, mud kitchen, sand and tricycles. In space #6, four (4) emergency medications were maintained in the backpack. One (1) of the medications, an inhaler, expired in July 2025. The medication had not been administered since 5/6/25. The permission form for Orajel Kids training toothpaste expired on 8/3/25. In space #7, prescription and over-the-counter creams were monitored. Ms. Anderson and I discussed the use of appropriate forms for prescription items. Additional consultations were provided during today’s visit. Five (5) children from space #9 played on the playground. The children rode tricycles and bicycles. One (1) child was on inhaler. This inhaler expired in March 2025. In space #9, no over-the-counter topicals were maintained. Space #8 was used by the Home-Based program and a not licensed space. #10, #11 were not used during today’s visit. Thirty-five (35) existing staff files were monitored for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates if required. Four (4) new staff files were monitored in full. Rest time was monitored in all classrooms. Supervision and interaction were adequate. There were no safety hazards being observed on the playgrounds. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #2, a bottle maintained in the refrigerator was not labeled with child's name or a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan in space #2 was not signed by the parent. The child was approximately eleven (11) months old. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, refrigerator temperature was approximately fifty (50) degrees. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In space #3, four (4) children's faces were completely covered under their blankets. All four (4) children were one (1) year old. Three (3) children were on their cots, one (1) child was in the crib. Additionally, one (1) child, who was one (1) year old and able to pull self up was asleep in a shallow crib with approximately twelve (12) inches in railing height. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, five outlets on the extension cord on top of teacher cabinet by a window was not covered by safety covers. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In space #4, a long white cords for a lamp was accessible to the children, as young as one (1) year old by the window. A short black cord for another lamp on top of children's cubbies was also accessible to the children in the same room. In space #2, electrical cords by the refrigerator was accessible to infants and children who was one (1) year old. 10A NCAC 09 .0604(f) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, Aquaphor cream expired in July 2025. In space 33, a container of Destin Maximum Strength expired in May 2025. In space #6, a container of Destin maximum strength expired in May, 2025. Albuterol inhaler for a child also expired in July, 2025. In space #9, an inhaler for a child expired in March 2025. .0803(12) Technical assistance was provided as follows: 533: beverages from home All beverages sent from home must be labeled with child’s name and date. Refer to 15A NCAC 18A .2803(d). To comply, communicate with your staff members and parents regarding this rule. The staff members should review each child’s beverages each morning to make sure that they are labeled appropriately. Please include the date of review in your compliance letter. 541: Feeding plan The written feeding plan must be signed by parents and posted in each classroom for all children under fifteen (15) months of age. Refer to .0902(a). To comply, please obtain a signature of parent and post the feeding plan. In your compliance letter, please note the date you achieve the compliance. 601: Refrigerator temperature Refrigerator must remain forty-five (45) degree or under. Refer to 15A NCAC 18A .2806(j)(2). To comply, please test the thermometer to make sure that it is in working order. Additionally, please adjust the fridge temperature to forty-five (45) degree or lower. In your compliance letter, please note the date you achieve the compliance. 807: safe environment During rest time, children’s faces must not be covered by blankets. If children cover themselves, staff members must remove the blankets when they fall asleep. Additionally, crib baseboard must be lower when children who use them can pull themselves up to prevent them from falling. Refer to .0601(a). This item was corrected during the visit. 812: Electrical outlets Electrical outlets accessible to children (five feet and under) must be covered with safety covers unless the outlets are tampered. Refer to .0604(c). To comply, cover all unused outlets with safety covers. In your compliance letter, please note the date you achieve the compliance. 815: Electrical cord Electrical cords must be inaccessible to infants and toddlers to prevent strangulation hazards. Refer to .0604(f). To comply, you can install electrical cord covers or hide the cords behind furniture. You can also remove the lamps from the classroom. In your compliance letter, please specify the action you have taken. 849: Expired authorization form/expired medication Medication must be discarded or returned home within seventy-two (72) hours of the permission form being expired or the medication themselves expired. Refer to .0803(12). To comply, please return the medication or cream to the parents or obtain new permission form. In your compliance letter, please note the date you achieve the compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/19/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: Please continue to work on your program roster on the ABCMS system. Medication permission forms: The short (half paper) forms are only for over-the-counter topicals. The form is not for any type of prescription. The full-page permission form must be used for all prescriptions, and the use of the medication must be logged. Only one (1) medication and/or a topicals can be listed on one (1) form. Moving forward, these items will be cited as violations. Hot equipment and pavement: When equipment or pavement is too hot, children must not be barefooted. Young children may not be able to make the correct decisions to prevent injuries themselves. It is the staff members’ responsibilities to direct children and prevent injuries at the best of their abilities. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/5/2025 Number Present: 40 Completed Date: 8/5/2025 Age: From 0 To 5 Total Minutes: 356 Time In: 09:04 AM Time Out: 03:00 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 me, Kaoru Eddins Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Anderson was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – Five-star center license issued on 11/3/23. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 7/31/25. The last lockdown drill was practiced on 7/25/25. The last playground inspection was documented on 7/31/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 3/7/25 with twenty-one (21) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old is Creative Curriculum. Lead water test was completed on 4/24/24 without hazards. Lead paint and asbestos test was completed on 6/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, two-to-three years of age, were present with two (2) staff members. The children played with dirt table and pretended to cook. One (1) emergency medication was maintained with over-the-counter creams were maintained. In space #2 a group of four (4) infants had breakfast. Two (2) staff members sat with the children and supervised the meal time. The children had apple sauce, milk and Cheerios. One (1) child was on emergency medication, and several over-the-counter creams were monitored. One (1) of the feeding plans was not signed by the parent. One of the over-the-counter creams was expired. The refrigerator temperature was measured at fifty (50) degrees. I returned to the classroom approximately an hour later, but the temperature still showed fifty (50) degrees. In space #3, a group of five (5) children, all one (1) year of age, were present with two (2) staff members. The children walked around the classroom and played with puzzles and other materials. One (1) of the over-the-counter creams was expired. Per staff member, one (1) of the children rest in a shallow crib, though the child was able to pull up. We discussed lowering the crib so that the child does not fall upon pulling up in the crib. Diaper changing was appropriately followed. In space #4, a group of seven (7) children, one (1) to two (2) years of age, had breakfast. The children had rice cereal, apple sauce and milk. After breakfast, the children brushed their teeth with teacher prompts and transitioned to free play. Electrical cords of two (2) lamps were accessible to the children. Two (2) prescription cream/ointment along with other over-the-counter creams were maintained in a locked box. We discussed using the appropriate permission forms for prescription medications. Additionally, a bottle of children’s Tylenol was maintained in the backpack. The medication was prescribed as part of seizure action plan. I reviewed the seizure action plan, but there were no detailed instructions included in the plan, including special instructions and side effects. The medication was marked as an emergency medication for febrile seizure caused by fever. However, no additional guidance on what temperature being considered fever for this child and or when the medication should be administered were included. This medication, due to being fever reduced, may or may not be used as a preventive medication rather than emergency medication. Typically, during seizure, no food or drink is allowed to be provided to the person. The correct use of this medication must be clarified. If this medication is preventive, the medication shall be maintained in a locked storage. These concerns were discussed with Ms. Anderson during monitoring. Seven (7) children, all two (2) years old, played on the playground. The children rode riding cars, tricycles and pushed riding cars. Supervision and interaction were adequate. In space #5, over-the-counter creams were monitored. Four (4) children in space #6 played on the playground. Four (4) children from space #7 also played on the playground. The children enjoyed spinners, toy vehicles, mud kitchen, sand and tricycles. In space #6, four (4) emergency medications were maintained in the backpack. One (1) of the medications, an inhaler, expired in July 2025. The medication had not been administered since 5/6/25. The permission form for Orajel Kids training toothpaste expired on 8/3/25. In space #7, prescription and over-the-counter creams were monitored. Ms. Anderson and I discussed the use of appropriate forms for prescription items. Additional consultations were provided during today’s visit. Five (5) children from space #9 played on the playground. The children rode tricycles and bicycles. One (1) child was on inhaler. This inhaler expired in March 2025. In space #9, no over-the-counter topicals were maintained. Space #8 was used by the Home-Based program and a not licensed space. #10, #11 were not used during today’s visit. Thirty-five (35) existing staff files were monitored for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates if required. Four (4) new staff files were monitored in full. Rest time was monitored in all classrooms. Supervision and interaction were adequate. There were no safety hazards being observed on the playgrounds. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #2, a bottle maintained in the refrigerator was not labeled with child's name or a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan in space #2 was not signed by the parent. The child was approximately eleven (11) months old. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, refrigerator temperature was approximately fifty (50) degrees. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In space #3, four (4) children's faces were completely covered under their blankets. All four (4) children were one (1) year old. Three (3) children were on their cots, one (1) child was in the crib. Additionally, one (1) child, who was one (1) year old and able to pull self up was asleep in a shallow crib with approximately twelve (12) inches in railing height. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, five outlets on the extension cord on top of teacher cabinet by a window was not covered by safety covers. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In space #4, a long white cords for a lamp was accessible to the children, as young as one (1) year old by the window. A short black cord for another lamp on top of children's cubbies was also accessible to the children in the same room. In space #2, electrical cords by the refrigerator was accessible to infants and children who was one (1) year old. 10A NCAC 09 .0604(f) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, Aquaphor cream expired in July 2025. In space 33, a container of Destin Maximum Strength expired in May 2025. In space #6, a container of Destin maximum strength expired in May, 2025. Albuterol inhaler for a child also expired in July, 2025. In space #9, an inhaler for a child expired in March 2025. .0803(12) Technical assistance was provided as follows: 533: beverages from home All beverages sent from home must be labeled with child’s name and date. Refer to 15A NCAC 18A .2803(d). To comply, communicate with your staff members and parents regarding this rule. The staff members should review each child’s beverages each morning to make sure that they are labeled appropriately. Please include the date of review in your compliance letter. 541: Feeding plan The written feeding plan must be signed by parents and posted in each classroom for all children under fifteen (15) months of age. Refer to .0902(a). To comply, please obtain a signature of parent and post the feeding plan. In your compliance letter, please note the date you achieve the compliance. 601: Refrigerator temperature Refrigerator must remain forty-five (45) degree or under. Refer to 15A NCAC 18A .2806(j)(2). To comply, please test the thermometer to make sure that it is in working order. Additionally, please adjust the fridge temperature to forty-five (45) degree or lower. In your compliance letter, please note the date you achieve the compliance. 807: safe environment During rest time, children’s faces must not be covered by blankets. If children cover themselves, staff members must remove the blankets when they fall asleep. Additionally, crib baseboard must be lower when children who use them can pull themselves up to prevent them from falling. Refer to .0601(a). This item was corrected during the visit. 812: Electrical outlets Electrical outlets accessible to children (five feet and under) must be covered with safety covers unless the outlets are tampered. Refer to .0604(c). To comply, cover all unused outlets with safety covers. In your compliance letter, please note the date you achieve the compliance. 815: Electrical cord Electrical cords must be inaccessible to infants and toddlers to prevent strangulation hazards. Refer to .0604(f). To comply, you can install electrical cord covers or hide the cords behind furniture. You can also remove the lamps from the classroom. In your compliance letter, please specify the action you have taken. 849: Expired authorization form/expired medication Medication must be discarded or returned home within seventy-two (72) hours of the permission form being expired or the medication themselves expired. Refer to .0803(12). To comply, please return the medication or cream to the parents or obtain new permission form. In your compliance letter, please note the date you achieve the compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/19/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: Please continue to work on your program roster on the ABCMS system. Medication permission forms: The short (half paper) forms are only for over-the-counter topicals. The form is not for any type of prescription. The full-page permission form must be used for all prescriptions, and the use of the medication must be logged. Only one (1) medication and/or a topicals can be listed on one (1) form. Moving forward, these items will be cited as violations. Hot equipment and pavement: When equipment or pavement is too hot, children must not be barefooted. Young children may not be able to make the correct decisions to prevent injuries themselves. It is the staff members’ responsibilities to direct children and prevent injuries at the best of their abilities. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/5/2025 Number Present: 40 Completed Date: 8/5/2025 Age: From 0 To 5 Total Minutes: 356 Time In: 09:04 AM Time Out: 03:00 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 me, Kaoru Eddins Child Care Consultant and also signed by Milo Anderson, Administrator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you Ms. Anderson was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – Five-star center license issued on 11/3/23. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/4/25. The last fire drill was practiced on 7/31/25. The last lockdown drill was practiced on 7/25/25. The last playground inspection was documented on 7/31/25. The last fire inspection was approved on 6/24/25. The last sanitation inspection was conducted on 3/7/25 with twenty-one (21) demerits for an approved classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old is Creative Curriculum. Lead water test was completed on 4/24/24 without hazards. Lead paint and asbestos test was completed on 6/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, two-to-three years of age, were present with two (2) staff members. The children played with dirt table and pretended to cook. One (1) emergency medication was maintained with over-the-counter creams were maintained. In space #2 a group of four (4) infants had breakfast. Two (2) staff members sat with the children and supervised the meal time. The children had apple sauce, milk and Cheerios. One (1) child was on emergency medication, and several over-the-counter creams were monitored. One (1) of the feeding plans was not signed by the parent. One of the over-the-counter creams was expired. The refrigerator temperature was measured at fifty (50) degrees. I returned to the classroom approximately an hour later, but the temperature still showed fifty (50) degrees. In space #3, a group of five (5) children, all one (1) year of age, were present with two (2) staff members. The children walked around the classroom and played with puzzles and other materials. One (1) of the over-the-counter creams was expired. Per staff member, one (1) of the children rest in a shallow crib, though the child was able to pull up. We discussed lowering the crib so that the child does not fall upon pulling up in the crib. Diaper changing was appropriately followed. In space #4, a group of seven (7) children, one (1) to two (2) years of age, had breakfast. The children had rice cereal, apple sauce and milk. After breakfast, the children brushed their teeth with teacher prompts and transitioned to free play. Electrical cords of two (2) lamps were accessible to the children. Two (2) prescription cream/ointment along with other over-the-counter creams were maintained in a locked box. We discussed using the appropriate permission forms for prescription medications. Additionally, a bottle of children’s Tylenol was maintained in the backpack. The medication was prescribed as part of seizure action plan. I reviewed the seizure action plan, but there were no detailed instructions included in the plan, including special instructions and side effects. The medication was marked as an emergency medication for febrile seizure caused by fever. However, no additional guidance on what temperature being considered fever for this child and or when the medication should be administered were included. This medication, due to being fever reduced, may or may not be used as a preventive medication rather than emergency medication. Typically, during seizure, no food or drink is allowed to be provided to the person. The correct use of this medication must be clarified. If this medication is preventive, the medication shall be maintained in a locked storage. These concerns were discussed with Ms. Anderson during monitoring. Seven (7) children, all two (2) years old, played on the playground. The children rode riding cars, tricycles and pushed riding cars. Supervision and interaction were adequate. In space #5, over-the-counter creams were monitored. Four (4) children in space #6 played on the playground. Four (4) children from space #7 also played on the playground. The children enjoyed spinners, toy vehicles, mud kitchen, sand and tricycles. In space #6, four (4) emergency medications were maintained in the backpack. One (1) of the medications, an inhaler, expired in July 2025. The medication had not been administered since 5/6/25. The permission form for Orajel Kids training toothpaste expired on 8/3/25. In space #7, prescription and over-the-counter creams were monitored. Ms. Anderson and I discussed the use of appropriate forms for prescription items. Additional consultations were provided during today’s visit. Five (5) children from space #9 played on the playground. The children rode tricycles and bicycles. One (1) child was on inhaler. This inhaler expired in March 2025. In space #9, no over-the-counter topicals were maintained. Space #8 was used by the Home-Based program and a not licensed space. #10, #11 were not used during today’s visit. Thirty-five (35) existing staff files were monitored for criminal background letters, CPR/First Aid certificates and ITS/SIDS certificates if required. Four (4) new staff files were monitored in full. Rest time was monitored in all classrooms. Supervision and interaction were adequate. There were no safety hazards being observed on the playgrounds. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to the NC Pre-K program had not started for this school year. No NC Pre-K children files were monitored today. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #2, a bottle maintained in the refrigerator was not labeled with child's name or a date. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan in space #2 was not signed by the parent. The child was approximately eleven (11) months old. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, refrigerator temperature was approximately fifty (50) degrees. 15A NCAC 18A .2806(j)(2) 807 A safe indoor and outdoor environment was not provided for the children. In space #3, four (4) children's faces were completely covered under their blankets. All four (4) children were one (1) year old. Three (3) children were on their cots, one (1) child was in the crib. Additionally, one (1) child, who was one (1) year old and able to pull self up was asleep in a shallow crib with approximately twelve (12) inches in railing height. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #4, five outlets on the extension cord on top of teacher cabinet by a window was not covered by safety covers. 10A NCAC 09 .0604(c) 815 Electrical cords were accessible to infants and toddlers. In space #4, a long white cords for a lamp was accessible to the children, as young as one (1) year old by the window. A short black cord for another lamp on top of children's cubbies was also accessible to the children in the same room. In space #2, electrical cords by the refrigerator was accessible to infants and children who was one (1) year old. 10A NCAC 09 .0604(f) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #2, Aquaphor cream expired in July 2025. In space 33, a container of Destin Maximum Strength expired in May 2025. In space #6, a container of Destin maximum strength expired in May, 2025. Albuterol inhaler for a child also expired in July, 2025. In space #9, an inhaler for a child expired in March 2025. .0803(12) Technical assistance was provided as follows: 533: beverages from home All beverages sent from home must be labeled with child’s name and date. Refer to 15A NCAC 18A .2803(d). To comply, communicate with your staff members and parents regarding this rule. The staff members should review each child’s beverages each morning to make sure that they are labeled appropriately. Please include the date of review in your compliance letter. 541: Feeding plan The written feeding plan must be signed by parents and posted in each classroom for all children under fifteen (15) months of age. Refer to .0902(a). To comply, please obtain a signature of parent and post the feeding plan. In your compliance letter, please note the date you achieve the compliance. 601: Refrigerator temperature Refrigerator must remain forty-five (45) degree or under. Refer to 15A NCAC 18A .2806(j)(2). To comply, please test the thermometer to make sure that it is in working order. Additionally, please adjust the fridge temperature to forty-five (45) degree or lower. In your compliance letter, please note the date you achieve the compliance. 807: safe environment During rest time, children’s faces must not be covered by blankets. If children cover themselves, staff members must remove the blankets when they fall asleep. Additionally, crib baseboard must be lower when children who use them can pull themselves up to prevent them from falling. Refer to .0601(a). This item was corrected during the visit. 812: Electrical outlets Electrical outlets accessible to children (five feet and under) must be covered with safety covers unless the outlets are tampered. Refer to .0604(c). To comply, cover all unused outlets with safety covers. In your compliance letter, please note the date you achieve the compliance. 815: Electrical cord Electrical cords must be inaccessible to infants and toddlers to prevent strangulation hazards. Refer to .0604(f). To comply, you can install electrical cord covers or hide the cords behind furniture. You can also remove the lamps from the classroom. In your compliance letter, please specify the action you have taken. 849: Expired authorization form/expired medication Medication must be discarded or returned home within seventy-two (72) hours of the permission form being expired or the medication themselves expired. Refer to .0803(12). To comply, please return the medication or cream to the parents or obtain new permission form. In your compliance letter, please note the date you achieve the compliance. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 8/19/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: ABCMS: Please continue to work on your program roster on the ABCMS system. Medication permission forms: The short (half paper) forms are only for over-the-counter topicals. The form is not for any type of prescription. The full-page permission form must be used for all prescriptions, and the use of the medication must be logged. Only one (1) medication and/or a topicals can be listed on one (1) form. Moving forward, these items will be cited as violations. Hot equipment and pavement: When equipment or pavement is too hot, children must not be barefooted. Young children may not be able to make the correct decisions to prevent injuries themselves. It is the staff members’ responsibilities to direct children and prevent injuries at the best of their abilities. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-158L Visit Date: 5/28/2025 Number Present: 37 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 11:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to follow up on the investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Candice Arnold, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Arnold assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/25/22. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. The complaint was received by the Division of Child Development and Early Education on May 13, 2025, and sent to me on May 14, 2025. The complaint visit was conducted on May 19, 2025, and the allegation of supervision was substantiated. Upon arrival, I greeted and announced the purpose of the visit. Transition procedures were observed in two (2) classrooms and the transition logs were reviewed for five (5) classrooms. During the transition from outside to the classroom, seven (7) children in space #1 (Holy) aged two (2) to three (3) years and three (3) staff members participated. One (1) staff member was positioned at the front of the group, while two (2) staff members were at the back. During the transition, one (1) child passed the front staff member and entered the classroom independently. The staff member at the front followed the child shortly after. The remaining six (6) children then entered the classroom, followed by the two (2) staff members from the back. Upon entering the classroom, Goldfish crackers had been set up on the tables. Three (3) children immediately sat down and began eating the crackers. The staff then directed all children to wash their hands, including the three (3) who had already started eating. Head counts were recorded on the form during the handwashing process by one (1) staff member. Eleven (11) children in space #9 (Cedar), ages four (4) to five (5) years old, and three (3) staff members transitioned from outside to the classroom. Upon entering the building, the teacher leading the group held the door open. As a few children entered, another teacher took over holding the door. The teacher at the front conducted a head count by pointing to the children’s heads in the air and counting out loud. When he/she finished counting, he/she stated, “I have eleven (11)” aloud. Once all the children were inside, the third staff member entered the classroom. While children washed their hands, the transition log was filled out by a staff member. The transition logs in five (5) classrooms were monitored. Two (2) infant rooms were not monitored due to rest time. The transition logs were not filled out for one (1) classroom, though the head counts sections were logged. The children during monitoring had lunch. Today, the children had honey mustard BBQ chicken, egg noodles, green beans, honey dew slices and milk. The following violations were documented during today’s visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Two (2) staff members did not wash their hands before putting gloves on and served food items to the children. 15A NCAC 18A .2803(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet by the kitchen was not covered by the safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 609: Hand washing – staff members Even though you wear gloves, staff members must wash their hands with soap and water prior to serving food to the children. Refer to 15A NCAC 18 .2803(a). 812: electrical outlet Electrical outlets must be covered with safety covers unless they are tempered resistant. Please remind the cleaning crew regarding this requirement. Refer to 10A NCAC 09 .0604(c). This item was corrected during the visit. Achieving Compliance: Due to the violation cited during a complaint visit conducted on May 19, 2025, a follow-up visits may be conducted. You may also be considered for administrative action. 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 6/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Transition Procedures Ms. Arnold and I discussed the current transition procedures, including both strengths and challenges: Strengths: • The headcount logs provide staff with accurate documentation of children throughout the day. However, it is important that staff are not simply checking off names. A name-to-face verification must be conducted each time to ensure accuracy and safety. • I observed one (1) staff member verbalizing the headcount out loud during the transition. This type of communication is important among staff to confirm the count is accurate and that all children are accounted for. Challenges: • Threshold Counts: A lack of threshold counts was observed. While not required, threshold counts are strongly recommended. They help prevent children from being left unattended in a space before the door is closed. Conducting a threshold count ensures that every child is accounted for during movement from one area to another. • Teacher Positioning: Proper positioning of staff is critical during transitions. No child should pass the front staff member leading the group, and no child should transition after the staff member positioned at the back. This helps ensure children are always within the staff’s line of sight and under active supervision. • Counting Method: Counting moving children by pointing at them in the air may lead to errors. The most reliable method is to physically touch or gently tap each child while counting, which helps avoid miscounts. Younger Children: • Due to their developmental stage, younger children may not be able to walk in a straight line during transitions. Staff must remain extra vigilant by conducting sweeps of the space and confirming accurate headcounts before and after transitioning. Effective staff positioning is essential to ensure all children are supervised and none are left behind. Fire Code Consideration: • According to fire code regulations, fire-rated doors must not be propped open using door stoppers or objects. To comply with this regulation: • For older children, it is recommended to assign a third staff member or a responsible child to hold the door during transitions. • For younger children, staff should be familiar with each child’s behavior. Children who are prone to running or wandering off should have their hands held during transitions. • If additional help is not available, the staff member at the back of the line should hold the door while maintaining visual supervision of all children. It is feasible to hold the door using one’s body or foot while holding hands with up to two (2) children. • The staff member at the front should verify that all children are accounted for before the staff member at the back closes the door. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-158L Visit Date: 5/28/2025 Number Present: 37 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 11:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to follow up on the investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Candice Arnold, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Arnold assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/25/22. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. The complaint was received by the Division of Child Development and Early Education on May 13, 2025, and sent to me on May 14, 2025. The complaint visit was conducted on May 19, 2025, and the allegation of supervision was substantiated. Upon arrival, I greeted and announced the purpose of the visit. Transition procedures were observed in two (2) classrooms and the transition logs were reviewed for five (5) classrooms. During the transition from outside to the classroom, seven (7) children in space #1 (Holy) aged two (2) to three (3) years and three (3) staff members participated. One (1) staff member was positioned at the front of the group, while two (2) staff members were at the back. During the transition, one (1) child passed the front staff member and entered the classroom independently. The staff member at the front followed the child shortly after. The remaining six (6) children then entered the classroom, followed by the two (2) staff members from the back. Upon entering the classroom, Goldfish crackers had been set up on the tables. Three (3) children immediately sat down and began eating the crackers. The staff then directed all children to wash their hands, including the three (3) who had already started eating. Head counts were recorded on the form during the handwashing process by one (1) staff member. Eleven (11) children in space #9 (Cedar), ages four (4) to five (5) years old, and three (3) staff members transitioned from outside to the classroom. Upon entering the building, the teacher leading the group held the door open. As a few children entered, another teacher took over holding the door. The teacher at the front conducted a head count by pointing to the children’s heads in the air and counting out loud. When he/she finished counting, he/she stated, “I have eleven (11)” aloud. Once all the children were inside, the third staff member entered the classroom. While children washed their hands, the transition log was filled out by a staff member. The transition logs in five (5) classrooms were monitored. Two (2) infant rooms were not monitored due to rest time. The transition logs were not filled out for one (1) classroom, though the head counts sections were logged. The children during monitoring had lunch. Today, the children had honey mustard BBQ chicken, egg noodles, green beans, honey dew slices and milk. The following violations were documented during today’s visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Two (2) staff members did not wash their hands before putting gloves on and served food items to the children. 15A NCAC 18A .2803(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet by the kitchen was not covered by the safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 609: Hand washing – staff members Even though you wear gloves, staff members must wash their hands with soap and water prior to serving food to the children. Refer to 15A NCAC 18 .2803(a). 812: electrical outlet Electrical outlets must be covered with safety covers unless they are tempered resistant. Please remind the cleaning crew regarding this requirement. Refer to 10A NCAC 09 .0604(c). This item was corrected during the visit. Achieving Compliance: Due to the violation cited during a complaint visit conducted on May 19, 2025, a follow-up visits may be conducted. You may also be considered for administrative action. 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 6/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Transition Procedures Ms. Arnold and I discussed the current transition procedures, including both strengths and challenges: Strengths: • The headcount logs provide staff with accurate documentation of children throughout the day. However, it is important that staff are not simply checking off names. A name-to-face verification must be conducted each time to ensure accuracy and safety. • I observed one (1) staff member verbalizing the headcount out loud during the transition. This type of communication is important among staff to confirm the count is accurate and that all children are accounted for. Challenges: • Threshold Counts: A lack of threshold counts was observed. While not required, threshold counts are strongly recommended. They help prevent children from being left unattended in a space before the door is closed. Conducting a threshold count ensures that every child is accounted for during movement from one area to another. • Teacher Positioning: Proper positioning of staff is critical during transitions. No child should pass the front staff member leading the group, and no child should transition after the staff member positioned at the back. This helps ensure children are always within the staff’s line of sight and under active supervision. • Counting Method: Counting moving children by pointing at them in the air may lead to errors. The most reliable method is to physically touch or gently tap each child while counting, which helps avoid miscounts. Younger Children: • Due to their developmental stage, younger children may not be able to walk in a straight line during transitions. Staff must remain extra vigilant by conducting sweeps of the space and confirming accurate headcounts before and after transitioning. Effective staff positioning is essential to ensure all children are supervised and none are left behind. Fire Code Consideration: • According to fire code regulations, fire-rated doors must not be propped open using door stoppers or objects. To comply with this regulation: • For older children, it is recommended to assign a third staff member or a responsible child to hold the door during transitions. • For younger children, staff should be familiar with each child’s behavior. Children who are prone to running or wandering off should have their hands held during transitions. • If additional help is not available, the staff member at the back of the line should hold the door while maintaining visual supervision of all children. It is feasible to hold the door using one’s body or foot while holding hands with up to two (2) children. • The staff member at the front should verify that all children are accounted for before the staff member at the back closes the door. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-158L Visit Date: 5/28/2025 Number Present: 37 Completed Date: 5/28/2025 Age: From 0 To 5 Total Minutes: 140 Time In: 11:40 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to follow up on the investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Candice Arnold, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you. Ms. Arnold assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. The facility operates with a five-star license issued on 10/25/22. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. The complaint was received by the Division of Child Development and Early Education on May 13, 2025, and sent to me on May 14, 2025. The complaint visit was conducted on May 19, 2025, and the allegation of supervision was substantiated. Upon arrival, I greeted and announced the purpose of the visit. Transition procedures were observed in two (2) classrooms and the transition logs were reviewed for five (5) classrooms. During the transition from outside to the classroom, seven (7) children in space #1 (Holy) aged two (2) to three (3) years and three (3) staff members participated. One (1) staff member was positioned at the front of the group, while two (2) staff members were at the back. During the transition, one (1) child passed the front staff member and entered the classroom independently. The staff member at the front followed the child shortly after. The remaining six (6) children then entered the classroom, followed by the two (2) staff members from the back. Upon entering the classroom, Goldfish crackers had been set up on the tables. Three (3) children immediately sat down and began eating the crackers. The staff then directed all children to wash their hands, including the three (3) who had already started eating. Head counts were recorded on the form during the handwashing process by one (1) staff member. Eleven (11) children in space #9 (Cedar), ages four (4) to five (5) years old, and three (3) staff members transitioned from outside to the classroom. Upon entering the building, the teacher leading the group held the door open. As a few children entered, another teacher took over holding the door. The teacher at the front conducted a head count by pointing to the children’s heads in the air and counting out loud. When he/she finished counting, he/she stated, “I have eleven (11)” aloud. Once all the children were inside, the third staff member entered the classroom. While children washed their hands, the transition log was filled out by a staff member. The transition logs in five (5) classrooms were monitored. Two (2) infant rooms were not monitored due to rest time. The transition logs were not filled out for one (1) classroom, though the head counts sections were logged. The children during monitoring had lunch. Today, the children had honey mustard BBQ chicken, egg noodles, green beans, honey dew slices and milk. The following violations were documented during today’s visit: Violation Number Comment Rule 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Two (2) staff members did not wash their hands before putting gloves on and served food items to the children. 15A NCAC 18A .2803(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet by the kitchen was not covered by the safety cover. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: 609: Hand washing – staff members Even though you wear gloves, staff members must wash their hands with soap and water prior to serving food to the children. Refer to 15A NCAC 18 .2803(a). 812: electrical outlet Electrical outlets must be covered with safety covers unless they are tempered resistant. Please remind the cleaning crew regarding this requirement. Refer to 10A NCAC 09 .0604(c). This item was corrected during the visit. Achieving Compliance: Due to the violation cited during a complaint visit conducted on May 19, 2025, a follow-up visits may be conducted. You may also be considered for administrative action. 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 6/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Transition Procedures Ms. Arnold and I discussed the current transition procedures, including both strengths and challenges: Strengths: • The headcount logs provide staff with accurate documentation of children throughout the day. However, it is important that staff are not simply checking off names. A name-to-face verification must be conducted each time to ensure accuracy and safety. • I observed one (1) staff member verbalizing the headcount out loud during the transition. This type of communication is important among staff to confirm the count is accurate and that all children are accounted for. Challenges: • Threshold Counts: A lack of threshold counts was observed. While not required, threshold counts are strongly recommended. They help prevent children from being left unattended in a space before the door is closed. Conducting a threshold count ensures that every child is accounted for during movement from one area to another. • Teacher Positioning: Proper positioning of staff is critical during transitions. No child should pass the front staff member leading the group, and no child should transition after the staff member positioned at the back. This helps ensure children are always within the staff’s line of sight and under active supervision. • Counting Method: Counting moving children by pointing at them in the air may lead to errors. The most reliable method is to physically touch or gently tap each child while counting, which helps avoid miscounts. Younger Children: • Due to their developmental stage, younger children may not be able to walk in a straight line during transitions. Staff must remain extra vigilant by conducting sweeps of the space and confirming accurate headcounts before and after transitioning. Effective staff positioning is essential to ensure all children are supervised and none are left behind. Fire Code Consideration: • According to fire code regulations, fire-rated doors must not be propped open using door stoppers or objects. To comply with this regulation: • For older children, it is recommended to assign a third staff member or a responsible child to hold the door during transitions. • For younger children, staff should be familiar with each child’s behavior. Children who are prone to running or wandering off should have their hands held during transitions. • If additional help is not available, the staff member at the back of the line should hold the door while maintaining visual supervision of all children. It is feasible to hold the door using one’s body or foot while holding hands with up to two (2) children. • The staff member at the front should verify that all children are accounted for before the staff member at the back closes the door. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-158L Visit Date: 5/19/2025 Number Present: 53 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 01:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelly, Administrator, during the visit. A signed copy of the visit summary was left on-site with you as well as emailed to you. Milo Anderson, co-director, accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The facility operates with a five-star center license issued on 10/25/22. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. The complaint was received by the Division of Child Development and Early Education on 5/13/25 and sent to me on 5/14/25. There is an allegation of violations of child care requirements regarding supervision. Per interview with Ms. Anderson, the incident occurred on 5/12/25 at approximately 10:30 a.m. in space #9 during the transition from the classroom to outside. One (1) child, five (5) years of age, was left unattended for less than a minute in the classroom until the child exited and joined the rest of the group in the hallway. The exterior door is located approximately four (4) feet from the classroom. I also interviewed one of the staff members who worked in space #9 during the incident. The lead teacher in space #9 was not available, as he/she/they were attending a training. Per the interview with the staff member, he/she/they were working as a floater on the day of the incident. On 5/12/25, there were eleven (11) children and four (4) adults present. In recent weeks, the children from space #10 and space #9 had been combined due to staffing challenges. These changes are permanent until the end of the school year. The adults present on 5/12/25 included the lead teacher, two (2) floaters, and one (1) volunteer. After group time, the eleven (11) children, ages three (3) to five (5), lined up in front of the door for transition. During this time, three (3) children needed to have their pull-up/diapers changed. This caused some behavioral challenges among the remaining children waiting in line. Once all diaper changes were completed and as the group began heading to the hallway, one (1) child ran to the “soft-and-safe” area. One (1) of the floaters followed the child to speak with him/her/them. Meanwhile, the rest of the group left the classroom with the lead teacher. According to the lead teacher’s written statement, a head count was taken prior to exiting the classroom and included eleven (11) children. The floater remaining in the classroom believed that he/she/they had two (2) children, while the lead teacher had nine (9), because two (2) children were within his/her/their line of sight. However, three (3) children actually remained in the classroom with the floater. When the floater and two (2) children exited to join the group in the hallway, the lead teacher immediately noticed that one (1) child was still inside the classroom. As the floater turned back and attempted to open the classroom door, the child who had been left behind independently opened the door and joined the group. Per Ms. Anderson, a number of procedures were implemented or reviewed following the incident. First, a sheet with the children’s pictures and names per class was added to the name-to-face sheet to help floaters and substitute staff become familiar with the children in the classrooms to which they are assigned. Second, two (2) staff members involved in the incident received written warnings and are in the process of completing Academy (Head Start Moodle) training on supervision. Third, the program is planning to conduct a staff meeting on 5/23/25 to review the active supervision policy with all staff members. The appropriate use of the name-to-face sheets is monitored by two (2) administrative staff members. Each staff member aims to complete two reviews per day—one in the morning and one in the afternoon—resulting in up to four total reviews daily, if both staff members complete both checks. Because my visits took place during rest time, name-to-face sheets were reviewed for all classrooms that were in operation. Name-to-face checklists were monitored across eight (8) classrooms. These sheets, which staff members are required to complete daily, included fifteen (15)-minute checks, the number of children leaving during transitions, the number of children arriving at the destination, and the location of the transition. All classrooms completed the name-to-face sheet for the day. In space #4, it was noted that a child from another classroom was present from 10:15 a.m. to 11:00 a.m. Per interview with a classroom staff member, the child was brought in prior to the group’s transition to the playground. However, the child was not included in the head count during the transition, despite being present in the classroom at the time. In space #5, one (1) child was not marked during the fifteen (15)-minute checks, although the total number of children was recorded accurately. The logs for the remaining classrooms were accurate. Even though it was only a short period of time, a child, five (5) years of age, was left unattended in the classroom. Based on the interview, the allegation regarding supervision is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The incident occurred on 5/12/25 at approximately 10:30 a.m. in space #9 during the transition from the classroom to outside. One (1) child, five (5) years old, was left unattended in the classroom for less than a minute before exiting and joining the rest of the group in the hallway. The exterior door is located approximately four (4) feet from the classroom. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision Children shall be supervised at all times. Staff members must be able to adequately see or hear the children in their care. Transition times are among the most common periods when supervision errors occur. To minimize these errors and reduce behavioral challenges, transitions should be brief, efficient, and well-planned. Planning ahead can help reduce waiting time, which in turn decreases the likelihood of behavioral issues. Time-consuming tasks, such as diaper changes, should be completed before children are asked to line up. Clear communication among staff members is critical to maintaining proper supervision. Staff should consistently communicate, announce their actions, and share expectations with one another during classroom routines and transitions. Refer to 10A NCAC 09 .1801 (a)(1-5). Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. You can include a corrective statement even if FU visit is required. The violations documented above must be corrected immediately. Make sure you follow procedures on receipt of compliance letter if this is included, if you choose to submit the compliance letter. • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature I must receive your compliance statement by 6/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative transitions: The program is in the process of changing the administrators. Ms. Anderson and Candice Arnold will be co-directing the program as administrators. The paperwork is in the process of being completed. Supervision during rest time: One (1) classroom was too dark to allow for appropriate supervision of children. Additionally, most staff members were stationary during my visits to each classroom. Ensure that each room is sufficiently lit so staff members can see every child clearly. Staff members should also move around the classroom at least every fifteen (15) minutes to effectively monitor the children. Administrative actions: Due to the nature of violation cited today, a follow-up visit will be conducted. You may be considered for administrative action. Until your action is determined, additional visits every four-to-six weeks may be conducted. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2201 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-158L Visit Date: 5/19/2025 Number Present: 53 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 01:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelly, Administrator, during the visit. A signed copy of the visit summary was left on-site with you as well as emailed to you. Milo Anderson, co-director, accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The facility operates with a five-star center license issued on 10/25/22. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. The complaint was received by the Division of Child Development and Early Education on 5/13/25 and sent to me on 5/14/25. There is an allegation of violations of child care requirements regarding supervision. Per interview with Ms. Anderson, the incident occurred on 5/12/25 at approximately 10:30 a.m. in space #9 during the transition from the classroom to outside. One (1) child, five (5) years of age, was left unattended for less than a minute in the classroom until the child exited and joined the rest of the group in the hallway. The exterior door is located approximately four (4) feet from the classroom. I also interviewed one of the staff members who worked in space #9 during the incident. The lead teacher in space #9 was not available, as he/she/they were attending a training. Per the interview with the staff member, he/she/they were working as a floater on the day of the incident. On 5/12/25, there were eleven (11) children and four (4) adults present. In recent weeks, the children from space #10 and space #9 had been combined due to staffing challenges. These changes are permanent until the end of the school year. The adults present on 5/12/25 included the lead teacher, two (2) floaters, and one (1) volunteer. After group time, the eleven (11) children, ages three (3) to five (5), lined up in front of the door for transition. During this time, three (3) children needed to have their pull-up/diapers changed. This caused some behavioral challenges among the remaining children waiting in line. Once all diaper changes were completed and as the group began heading to the hallway, one (1) child ran to the “soft-and-safe” area. One (1) of the floaters followed the child to speak with him/her/them. Meanwhile, the rest of the group left the classroom with the lead teacher. According to the lead teacher’s written statement, a head count was taken prior to exiting the classroom and included eleven (11) children. The floater remaining in the classroom believed that he/she/they had two (2) children, while the lead teacher had nine (9), because two (2) children were within his/her/their line of sight. However, three (3) children actually remained in the classroom with the floater. When the floater and two (2) children exited to join the group in the hallway, the lead teacher immediately noticed that one (1) child was still inside the classroom. As the floater turned back and attempted to open the classroom door, the child who had been left behind independently opened the door and joined the group. Per Ms. Anderson, a number of procedures were implemented or reviewed following the incident. First, a sheet with the children’s pictures and names per class was added to the name-to-face sheet to help floaters and substitute staff become familiar with the children in the classrooms to which they are assigned. Second, two (2) staff members involved in the incident received written warnings and are in the process of completing Academy (Head Start Moodle) training on supervision. Third, the program is planning to conduct a staff meeting on 5/23/25 to review the active supervision policy with all staff members. The appropriate use of the name-to-face sheets is monitored by two (2) administrative staff members. Each staff member aims to complete two reviews per day—one in the morning and one in the afternoon—resulting in up to four total reviews daily, if both staff members complete both checks. Because my visits took place during rest time, name-to-face sheets were reviewed for all classrooms that were in operation. Name-to-face checklists were monitored across eight (8) classrooms. These sheets, which staff members are required to complete daily, included fifteen (15)-minute checks, the number of children leaving during transitions, the number of children arriving at the destination, and the location of the transition. All classrooms completed the name-to-face sheet for the day. In space #4, it was noted that a child from another classroom was present from 10:15 a.m. to 11:00 a.m. Per interview with a classroom staff member, the child was brought in prior to the group’s transition to the playground. However, the child was not included in the head count during the transition, despite being present in the classroom at the time. In space #5, one (1) child was not marked during the fifteen (15)-minute checks, although the total number of children was recorded accurately. The logs for the remaining classrooms were accurate. Even though it was only a short period of time, a child, five (5) years of age, was left unattended in the classroom. Based on the interview, the allegation regarding supervision is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The incident occurred on 5/12/25 at approximately 10:30 a.m. in space #9 during the transition from the classroom to outside. One (1) child, five (5) years old, was left unattended in the classroom for less than a minute before exiting and joining the rest of the group in the hallway. The exterior door is located approximately four (4) feet from the classroom. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision Children shall be supervised at all times. Staff members must be able to adequately see or hear the children in their care. Transition times are among the most common periods when supervision errors occur. To minimize these errors and reduce behavioral challenges, transitions should be brief, efficient, and well-planned. Planning ahead can help reduce waiting time, which in turn decreases the likelihood of behavioral issues. Time-consuming tasks, such as diaper changes, should be completed before children are asked to line up. Clear communication among staff members is critical to maintaining proper supervision. Staff should consistently communicate, announce their actions, and share expectations with one another during classroom routines and transitions. Refer to 10A NCAC 09 .1801 (a)(1-5). Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. You can include a corrective statement even if FU visit is required. The violations documented above must be corrected immediately. Make sure you follow procedures on receipt of compliance letter if this is included, if you choose to submit the compliance letter. • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature I must receive your compliance statement by 6/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative transitions: The program is in the process of changing the administrators. Ms. Anderson and Candice Arnold will be co-directing the program as administrators. The paperwork is in the process of being completed. Supervision during rest time: One (1) classroom was too dark to allow for appropriate supervision of children. Additionally, most staff members were stationary during my visits to each classroom. Ensure that each room is sufficiently lit so staff members can see every child clearly. Staff members should also move around the classroom at least every fifteen (15) minutes to effectively monitor the children. Administrative actions: Due to the nature of violation cited today, a follow-up visit will be conducted. You may be considered for administrative action. Until your action is determined, additional visits every four-to-six weeks may be conducted. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0525-158L Visit Date: 5/19/2025 Number Present: 53 Completed Date: 5/19/2025 Age: From 0 To 5 Total Minutes: 150 Time In: 01:00 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelly, Administrator, during the visit. A signed copy of the visit summary was left on-site with you as well as emailed to you. Milo Anderson, co-director, accompanied me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The facility operates with a five-star center license issued on 10/25/22. The Special Services/Restrictions include daytime care, meets enhanced ratios and space. The complaint was received by the Division of Child Development and Early Education on 5/13/25 and sent to me on 5/14/25. There is an allegation of violations of child care requirements regarding supervision. Per interview with Ms. Anderson, the incident occurred on 5/12/25 at approximately 10:30 a.m. in space #9 during the transition from the classroom to outside. One (1) child, five (5) years of age, was left unattended for less than a minute in the classroom until the child exited and joined the rest of the group in the hallway. The exterior door is located approximately four (4) feet from the classroom. I also interviewed one of the staff members who worked in space #9 during the incident. The lead teacher in space #9 was not available, as he/she/they were attending a training. Per the interview with the staff member, he/she/they were working as a floater on the day of the incident. On 5/12/25, there were eleven (11) children and four (4) adults present. In recent weeks, the children from space #10 and space #9 had been combined due to staffing challenges. These changes are permanent until the end of the school year. The adults present on 5/12/25 included the lead teacher, two (2) floaters, and one (1) volunteer. After group time, the eleven (11) children, ages three (3) to five (5), lined up in front of the door for transition. During this time, three (3) children needed to have their pull-up/diapers changed. This caused some behavioral challenges among the remaining children waiting in line. Once all diaper changes were completed and as the group began heading to the hallway, one (1) child ran to the “soft-and-safe” area. One (1) of the floaters followed the child to speak with him/her/them. Meanwhile, the rest of the group left the classroom with the lead teacher. According to the lead teacher’s written statement, a head count was taken prior to exiting the classroom and included eleven (11) children. The floater remaining in the classroom believed that he/she/they had two (2) children, while the lead teacher had nine (9), because two (2) children were within his/her/their line of sight. However, three (3) children actually remained in the classroom with the floater. When the floater and two (2) children exited to join the group in the hallway, the lead teacher immediately noticed that one (1) child was still inside the classroom. As the floater turned back and attempted to open the classroom door, the child who had been left behind independently opened the door and joined the group. Per Ms. Anderson, a number of procedures were implemented or reviewed following the incident. First, a sheet with the children’s pictures and names per class was added to the name-to-face sheet to help floaters and substitute staff become familiar with the children in the classrooms to which they are assigned. Second, two (2) staff members involved in the incident received written warnings and are in the process of completing Academy (Head Start Moodle) training on supervision. Third, the program is planning to conduct a staff meeting on 5/23/25 to review the active supervision policy with all staff members. The appropriate use of the name-to-face sheets is monitored by two (2) administrative staff members. Each staff member aims to complete two reviews per day—one in the morning and one in the afternoon—resulting in up to four total reviews daily, if both staff members complete both checks. Because my visits took place during rest time, name-to-face sheets were reviewed for all classrooms that were in operation. Name-to-face checklists were monitored across eight (8) classrooms. These sheets, which staff members are required to complete daily, included fifteen (15)-minute checks, the number of children leaving during transitions, the number of children arriving at the destination, and the location of the transition. All classrooms completed the name-to-face sheet for the day. In space #4, it was noted that a child from another classroom was present from 10:15 a.m. to 11:00 a.m. Per interview with a classroom staff member, the child was brought in prior to the group’s transition to the playground. However, the child was not included in the head count during the transition, despite being present in the classroom at the time. In space #5, one (1) child was not marked during the fifteen (15)-minute checks, although the total number of children was recorded accurately. The logs for the remaining classrooms were accurate. Even though it was only a short period of time, a child, five (5) years of age, was left unattended in the classroom. Based on the interview, the allegation regarding supervision is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. The incident occurred on 5/12/25 at approximately 10:30 a.m. in space #9 during the transition from the classroom to outside. One (1) child, five (5) years old, was left unattended in the classroom for less than a minute before exiting and joining the rest of the group in the hallway. The exterior door is located approximately four (4) feet from the classroom. .1801(a)(1-5) Technical assistance was provided as follows: 303: Supervision Children shall be supervised at all times. Staff members must be able to adequately see or hear the children in their care. Transition times are among the most common periods when supervision errors occur. To minimize these errors and reduce behavioral challenges, transitions should be brief, efficient, and well-planned. Planning ahead can help reduce waiting time, which in turn decreases the likelihood of behavioral issues. Time-consuming tasks, such as diaper changes, should be completed before children are asked to line up. Clear communication among staff members is critical to maintaining proper supervision. Staff should consistently communicate, announce their actions, and share expectations with one another during classroom routines and transitions. Refer to 10A NCAC 09 .1801 (a)(1-5). Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. You can include a corrective statement even if FU visit is required. The violations documented above must be corrected immediately. Make sure you follow procedures on receipt of compliance letter if this is included, if you choose to submit the compliance letter. • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature I must receive your compliance statement by 6/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative transitions: The program is in the process of changing the administrators. Ms. Anderson and Candice Arnold will be co-directing the program as administrators. The paperwork is in the process of being completed. Supervision during rest time: One (1) classroom was too dark to allow for appropriate supervision of children. Additionally, most staff members were stationary during my visits to each classroom. Ensure that each room is sufficiently lit so staff members can see every child clearly. Staff members should also move around the classroom at least every fifteen (15) minutes to effectively monitor the children. Administrative actions: Due to the nature of violation cited today, a follow-up visit will be conducted. You may be considered for administrative action. Until your action is determined, additional visits every four-to-six weeks may be conducted. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 54 Completed Date: 3/4/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:10 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Kelley accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 2/19/25. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 2/27/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/28/25. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 9/9/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of eight (8) children, two-to-three years of age, were present with three (3) staff members. The children played with Legos and pretend people. Some children played Hide and Seek with a teacher. Breakfast was served during the visit. Rice cereals, cubed pears and milk were served. Diaper creams and one (1) emergency medication were maintained in the classroom. In space #2, a group of four (1) infants and two (2) staff members were present. One (1) child was on the bopper, two (2) children were held and one (1) sat on the floor and played with rattles. Sleep check, Safe sleep posters, feeding plans were posted. Two (2) evacuation cribs were present. One (1) emergency medications and diaper creams were maintained in this classroom. In space #3, a group of six (6) children, infants and one (1) year of age, were present with two (2) staff members. The children explored the environment. One (1) teacher read a book to a child. One (1) child, one (1) year of age joined the children in space #4 for outside time. Thermometer in the refrigerator was not turned on due to batteries ran out. The children in space #4 played on the playground. The children played with a portable slide and riding toys. There were seven (7) children, all one (1) year of age plus one (1) child from space #3, also one (1) year of age, present with three (3) staff members. In space #5, seven (7) children, two-to-three years of age, were present with three (3) staff members. Lunch was observed in this classroom. Honey Mustard chicken, sweet potatoes, apple sauce, egg noodles and milk were served. The children from space #6 played on the playground. The children played with bikes, a sandbox and other materials. There were eight (8) children, two-to-three years of age, present with three (3) staff members. The children from space #7 also played on the playground with the children in space #6. No diaper creams or medications are maintained in the classroom. Space #8 is used by Home-Based families. One (1) child with one (1) parent was present during the visit. Home-Based children are enrolled in the program, and their files were available electronically. Space #9 is NC Pre-K classroom. Seven (7) children, three-to-four years of age, were present with two (2) staff members. The group transitioned to the playground. The children played with bikes and expired the environment. In space #10, a group of eight (8) children, three-to-four years of age, transitioned from the classroom to the playground. There were two (2) staff members present. Interaction and supervision were adequate during the visit. Eight (8) children’s files were monitored. Ten (10) new staff files were monitored. Three (3) new staff members were not listed on the Staff and Training Worksheet. Their names were added to the worksheet during the visit. All three (3) members’ orientation is still in progress. All three (3) staff members have emergency information forms, health questionnaire forms, TB screening, medical statements in files. E. Wintle hired on 2/3/25 has completed CPR/First Aid training and Recognizing and Responding to Suspicions of Child Maltreatment Training. All three staff members have reviewed and signed the program’s Shaken Baby Syndrome policy. Per Ms. Kelley, the review for the Emergency Medical Care Plans and Emergency Preparedness and Response plans were reviewed with staff members during the staff meetings. The updated date of CPR/First Aid training for S. Trigueros was 2/18/27. There were no laps between previous training and the current training. T. Sebastian was hired on 2/4/25 and H. Pettit was hired on 2/17/25. Application dates, first date of employment, criminal background letters, emergency information form, TB form, Medical statement, Shaken Baby policy review and the date of operational/personnel policies were available for the staff members. Three (3) existing staff files were monitored in full. The dates for Staff Development plan and Annual Staff Evaluation for L. Allen were not completed on the Staff and Training Worksheet. They were both completed on 1/22/25. Due to the existing staff files reviewed during today’s visits being relatively new, two additional two (2) existing staff files were reviewed partially for on-going training hours. Both T. Rogers and S. Trice met the required training hours for the previous year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. 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. During breakfast, cubed pears were served while blueberries were listed on the menu in the hallway. For lunch, apple sauce were served to the children, but bananas were listed on the menu in the hallway. The substitute items were not added to the menu prior to serving the children. 10A NCAC 09 .0901(b) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In space #2, a bottled beverage with a name of the child and the date of 3/3 were stored in the refrigerator. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's feeding plan was not signed by the parent in space #2. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was a thermometer in the refrigerator in space #3, but the device was not on turned on, and the temperature was not indicated. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Bar Keepers Friend Cleanser was stored on the top shelf in the far left cabinet in space #7. The door of the cabinet was not locked. .2820(b) 847 Parent's medication authorization did not include required information. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The information of preferred choice of health professional was not filled out on the emergency information form for a staff member employed on 9/9/24. .0701(a) 1314 Emergency information did not name child's health care professional. he preferred choice of health care professional was not filled out for a child (SC) in space #9. .0802(c)(2) Technical assistance was provided as follows: 528: Food substitution Food substitution of comparable food value shall be recorded on the menu prior to the meal or snack being served. Today, pear was provided instead of blueberries for breakfast, and apple sauce was provided instead of bananas for lunch. If different items rather than what were listed on the menu are served, the menu must be corrected prior to serving children. I advise to limit the places where you post the menu to one location where the parents can see for the ease of compliance for this item. 535: Beverage Any excess formula, thawed human milk and/or other bottled beverage shall be discarded or returned home at the end of each day. One child’s bottle with a label of 3/3(/2025) was left in the refrigerator. Please discard all leftover formula, breast milk and other bottled beverages at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 541: Feeding Plans The written feeding plan shall include the child's name, parent signature, and/or was not dated when received by the center. Refer to 10A NCAC 09 .0902(a). 601: Refrigerator Temperature Refrigerator(s) shall maintain a temperature of 45 degrees F. or below. In order to maintain the correct temperature, a device to measure the temperature must be installed in the refrigerator. One (1) child’s feeding plan in space #2 was not signed. Please have the parent sign the plan. Refer to 15 NCAC 18A .2806(j)(2). 840: Hazardous Products Hazardous products must be stored in a locked storage. Bar Keepers Friend Cleanser was stored on the top shelf of the left cabinet in space #7, and the cabinet door was not locked. The cabinet doors where the chemicals are stored shall be locked at all times. Refer to 15A NCAC 18A .2820(b). 847: Medication authorization form Medication authorization form must be current at all times. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. Parents shall renew the authorization form. You shall hold applying the diaper creams until the new forms are obtained. Refer to 10A NCAC 09 .0803(4)(6-9). 1035: Emergency Information Form Emergency information form with the required information must be in each staff file on or prior to first day of employment. The name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional are the required information. The preferred choice of health care professional was not written on the emergency information form for M. Y. Sierra who was employed on 9/9/24. Please have the staff member fill out the section. Refer to 10A NCAC 09 .0801(a). 1314: Emergency information on the child’s application form Emergency information shall contain name, child’s health care professional. The preferred choice of health care professional was not filled out for a child (SC) in space #9. Please refer to 10A NCAC 09 .0802(c)(2). Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 1053: Health and Safety Training Health and Safety Training shall be completed within one (1) year of employment and every five (5) year thereafter. A. Acosta, who was hired on 10/23/23 completed his/her/their Health and Safety Training on 1/21/25. Moving forward, all staff members shall complete their Health and Safety training within one (1) year of employment. 1067: Orientation Each new employee shall complete, within the first two weeks of employment, six clock hours of training in the required topic areas. The date of the first two (2) weeks of training was not logged on the orientation sheet for H. Pettit, who was hired on 2/17/25. The orientation sheet shall be filled out as each topics are reviewed. 1232: Staff Development Plan and Annual Staff Evaluation Each employee’s personnel file shall contain an annual staff evaluation and a staff development plan. L. Iobst’s Staff Development Plan (SDP) and Annual Staff Evaluation (ASE) were not completed on or before 2/27/25. S. Henriquez’s SDP and ASE were not completed on or before 2/19/25. Both of the staff members’ SDP and ASE shall be completed and filed as soon as possible. 1897: Recognizing and Responding to Suspicions of Child Maltreatment The child care administrator and all staff shall complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed by A. Acosta who was hired on 10/23/23 before the due date of 1/21/24. Also, A. Warren completed the training on 6/3/24 on the Prosolution site rather than Prevent Child Abuse website. Please have A. Warren to complete the training on the Prevent Child Abuse website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Health and Safety Training: Per Ms. Kelley, only administrative staff members administer medications to the children per program policy. We discussed the requirements for the Health and Safety training. Per 10A NCAC 09 .1102(b)(1-11), the training on the following topics must be completed within a year of employment as well as every five (5) years following the initial completion of the training. Only transportation training is required for applicable programs. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b)The health and safety training shall include the following topic areas: (1)Prevention and control of infectious diseases, including immunization; (2)Administration of medication, with standards for parental consent; (3)Prevention of and response to emergencies due to food and allergic reactions; (4)Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5)Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6)Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7)Precautions in transporting children, if applicable; (8)Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9)CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10)Recognizing and reporting child abuse, child neglect, and child maltreatment; Reminders: Space #1: Action plan for Ventolin HFA will expire on 4/15/25. You must renew the action plan as well as the authorization form on or prior to 4/15/25. Authorization form for Mineral Sunscreen, Coppertone Pure & Simple Sun Protection, Boudreaux’s Butt Paste and Eucerin Original Healing Lotion will expire on 4/8/25. 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. Space #4: Menzatin will expire in April 2025. Destin Maximum Strength will expire in March 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 54 Completed Date: 3/4/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:10 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Kelley accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 2/19/25. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 2/27/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/28/25. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 9/9/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of eight (8) children, two-to-three years of age, were present with three (3) staff members. The children played with Legos and pretend people. Some children played Hide and Seek with a teacher. Breakfast was served during the visit. Rice cereals, cubed pears and milk were served. Diaper creams and one (1) emergency medication were maintained in the classroom. In space #2, a group of four (1) infants and two (2) staff members were present. One (1) child was on the bopper, two (2) children were held and one (1) sat on the floor and played with rattles. Sleep check, Safe sleep posters, feeding plans were posted. Two (2) evacuation cribs were present. One (1) emergency medications and diaper creams were maintained in this classroom. In space #3, a group of six (6) children, infants and one (1) year of age, were present with two (2) staff members. The children explored the environment. One (1) teacher read a book to a child. One (1) child, one (1) year of age joined the children in space #4 for outside time. Thermometer in the refrigerator was not turned on due to batteries ran out. The children in space #4 played on the playground. The children played with a portable slide and riding toys. There were seven (7) children, all one (1) year of age plus one (1) child from space #3, also one (1) year of age, present with three (3) staff members. In space #5, seven (7) children, two-to-three years of age, were present with three (3) staff members. Lunch was observed in this classroom. Honey Mustard chicken, sweet potatoes, apple sauce, egg noodles and milk were served. The children from space #6 played on the playground. The children played with bikes, a sandbox and other materials. There were eight (8) children, two-to-three years of age, present with three (3) staff members. The children from space #7 also played on the playground with the children in space #6. No diaper creams or medications are maintained in the classroom. Space #8 is used by Home-Based families. One (1) child with one (1) parent was present during the visit. Home-Based children are enrolled in the program, and their files were available electronically. Space #9 is NC Pre-K classroom. Seven (7) children, three-to-four years of age, were present with two (2) staff members. The group transitioned to the playground. The children played with bikes and expired the environment. In space #10, a group of eight (8) children, three-to-four years of age, transitioned from the classroom to the playground. There were two (2) staff members present. Interaction and supervision were adequate during the visit. Eight (8) children’s files were monitored. Ten (10) new staff files were monitored. Three (3) new staff members were not listed on the Staff and Training Worksheet. Their names were added to the worksheet during the visit. All three (3) members’ orientation is still in progress. All three (3) staff members have emergency information forms, health questionnaire forms, TB screening, medical statements in files. E. Wintle hired on 2/3/25 has completed CPR/First Aid training and Recognizing and Responding to Suspicions of Child Maltreatment Training. All three staff members have reviewed and signed the program’s Shaken Baby Syndrome policy. Per Ms. Kelley, the review for the Emergency Medical Care Plans and Emergency Preparedness and Response plans were reviewed with staff members during the staff meetings. The updated date of CPR/First Aid training for S. Trigueros was 2/18/27. There were no laps between previous training and the current training. T. Sebastian was hired on 2/4/25 and H. Pettit was hired on 2/17/25. Application dates, first date of employment, criminal background letters, emergency information form, TB form, Medical statement, Shaken Baby policy review and the date of operational/personnel policies were available for the staff members. Three (3) existing staff files were monitored in full. The dates for Staff Development plan and Annual Staff Evaluation for L. Allen were not completed on the Staff and Training Worksheet. They were both completed on 1/22/25. Due to the existing staff files reviewed during today’s visits being relatively new, two additional two (2) existing staff files were reviewed partially for on-going training hours. Both T. Rogers and S. Trice met the required training hours for the previous year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. 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. During breakfast, cubed pears were served while blueberries were listed on the menu in the hallway. For lunch, apple sauce were served to the children, but bananas were listed on the menu in the hallway. The substitute items were not added to the menu prior to serving the children. 10A NCAC 09 .0901(b) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In space #2, a bottled beverage with a name of the child and the date of 3/3 were stored in the refrigerator. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's feeding plan was not signed by the parent in space #2. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was a thermometer in the refrigerator in space #3, but the device was not on turned on, and the temperature was not indicated. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Bar Keepers Friend Cleanser was stored on the top shelf in the far left cabinet in space #7. The door of the cabinet was not locked. .2820(b) 847 Parent's medication authorization did not include required information. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The information of preferred choice of health professional was not filled out on the emergency information form for a staff member employed on 9/9/24. .0701(a) 1314 Emergency information did not name child's health care professional. he preferred choice of health care professional was not filled out for a child (SC) in space #9. .0802(c)(2) Technical assistance was provided as follows: 528: Food substitution Food substitution of comparable food value shall be recorded on the menu prior to the meal or snack being served. Today, pear was provided instead of blueberries for breakfast, and apple sauce was provided instead of bananas for lunch. If different items rather than what were listed on the menu are served, the menu must be corrected prior to serving children. I advise to limit the places where you post the menu to one location where the parents can see for the ease of compliance for this item. 535: Beverage Any excess formula, thawed human milk and/or other bottled beverage shall be discarded or returned home at the end of each day. One child’s bottle with a label of 3/3(/2025) was left in the refrigerator. Please discard all leftover formula, breast milk and other bottled beverages at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 541: Feeding Plans The written feeding plan shall include the child's name, parent signature, and/or was not dated when received by the center. Refer to 10A NCAC 09 .0902(a). 601: Refrigerator Temperature Refrigerator(s) shall maintain a temperature of 45 degrees F. or below. In order to maintain the correct temperature, a device to measure the temperature must be installed in the refrigerator. One (1) child’s feeding plan in space #2 was not signed. Please have the parent sign the plan. Refer to 15 NCAC 18A .2806(j)(2). 840: Hazardous Products Hazardous products must be stored in a locked storage. Bar Keepers Friend Cleanser was stored on the top shelf of the left cabinet in space #7, and the cabinet door was not locked. The cabinet doors where the chemicals are stored shall be locked at all times. Refer to 15A NCAC 18A .2820(b). 847: Medication authorization form Medication authorization form must be current at all times. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. Parents shall renew the authorization form. You shall hold applying the diaper creams until the new forms are obtained. Refer to 10A NCAC 09 .0803(4)(6-9). 1035: Emergency Information Form Emergency information form with the required information must be in each staff file on or prior to first day of employment. The name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional are the required information. The preferred choice of health care professional was not written on the emergency information form for M. Y. Sierra who was employed on 9/9/24. Please have the staff member fill out the section. Refer to 10A NCAC 09 .0801(a). 1314: Emergency information on the child’s application form Emergency information shall contain name, child’s health care professional. The preferred choice of health care professional was not filled out for a child (SC) in space #9. Please refer to 10A NCAC 09 .0802(c)(2). Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 1053: Health and Safety Training Health and Safety Training shall be completed within one (1) year of employment and every five (5) year thereafter. A. Acosta, who was hired on 10/23/23 completed his/her/their Health and Safety Training on 1/21/25. Moving forward, all staff members shall complete their Health and Safety training within one (1) year of employment. 1067: Orientation Each new employee shall complete, within the first two weeks of employment, six clock hours of training in the required topic areas. The date of the first two (2) weeks of training was not logged on the orientation sheet for H. Pettit, who was hired on 2/17/25. The orientation sheet shall be filled out as each topics are reviewed. 1232: Staff Development Plan and Annual Staff Evaluation Each employee’s personnel file shall contain an annual staff evaluation and a staff development plan. L. Iobst’s Staff Development Plan (SDP) and Annual Staff Evaluation (ASE) were not completed on or before 2/27/25. S. Henriquez’s SDP and ASE were not completed on or before 2/19/25. Both of the staff members’ SDP and ASE shall be completed and filed as soon as possible. 1897: Recognizing and Responding to Suspicions of Child Maltreatment The child care administrator and all staff shall complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed by A. Acosta who was hired on 10/23/23 before the due date of 1/21/24. Also, A. Warren completed the training on 6/3/24 on the Prosolution site rather than Prevent Child Abuse website. Please have A. Warren to complete the training on the Prevent Child Abuse website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Health and Safety Training: Per Ms. Kelley, only administrative staff members administer medications to the children per program policy. We discussed the requirements for the Health and Safety training. Per 10A NCAC 09 .1102(b)(1-11), the training on the following topics must be completed within a year of employment as well as every five (5) years following the initial completion of the training. Only transportation training is required for applicable programs. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b)The health and safety training shall include the following topic areas: (1)Prevention and control of infectious diseases, including immunization; (2)Administration of medication, with standards for parental consent; (3)Prevention of and response to emergencies due to food and allergic reactions; (4)Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5)Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6)Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7)Precautions in transporting children, if applicable; (8)Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9)CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10)Recognizing and reporting child abuse, child neglect, and child maltreatment; Reminders: Space #1: Action plan for Ventolin HFA will expire on 4/15/25. You must renew the action plan as well as the authorization form on or prior to 4/15/25. Authorization form for Mineral Sunscreen, Coppertone Pure & Simple Sun Protection, Boudreaux’s Butt Paste and Eucerin Original Healing Lotion will expire on 4/8/25. 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. Space #4: Menzatin will expire in April 2025. Destin Maximum Strength will expire in March 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 54 Completed Date: 3/4/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:10 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Kelley accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 2/19/25. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 2/27/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/28/25. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 9/9/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of eight (8) children, two-to-three years of age, were present with three (3) staff members. The children played with Legos and pretend people. Some children played Hide and Seek with a teacher. Breakfast was served during the visit. Rice cereals, cubed pears and milk were served. Diaper creams and one (1) emergency medication were maintained in the classroom. In space #2, a group of four (1) infants and two (2) staff members were present. One (1) child was on the bopper, two (2) children were held and one (1) sat on the floor and played with rattles. Sleep check, Safe sleep posters, feeding plans were posted. Two (2) evacuation cribs were present. One (1) emergency medications and diaper creams were maintained in this classroom. In space #3, a group of six (6) children, infants and one (1) year of age, were present with two (2) staff members. The children explored the environment. One (1) teacher read a book to a child. One (1) child, one (1) year of age joined the children in space #4 for outside time. Thermometer in the refrigerator was not turned on due to batteries ran out. The children in space #4 played on the playground. The children played with a portable slide and riding toys. There were seven (7) children, all one (1) year of age plus one (1) child from space #3, also one (1) year of age, present with three (3) staff members. In space #5, seven (7) children, two-to-three years of age, were present with three (3) staff members. Lunch was observed in this classroom. Honey Mustard chicken, sweet potatoes, apple sauce, egg noodles and milk were served. The children from space #6 played on the playground. The children played with bikes, a sandbox and other materials. There were eight (8) children, two-to-three years of age, present with three (3) staff members. The children from space #7 also played on the playground with the children in space #6. No diaper creams or medications are maintained in the classroom. Space #8 is used by Home-Based families. One (1) child with one (1) parent was present during the visit. Home-Based children are enrolled in the program, and their files were available electronically. Space #9 is NC Pre-K classroom. Seven (7) children, three-to-four years of age, were present with two (2) staff members. The group transitioned to the playground. The children played with bikes and expired the environment. In space #10, a group of eight (8) children, three-to-four years of age, transitioned from the classroom to the playground. There were two (2) staff members present. Interaction and supervision were adequate during the visit. Eight (8) children’s files were monitored. Ten (10) new staff files were monitored. Three (3) new staff members were not listed on the Staff and Training Worksheet. Their names were added to the worksheet during the visit. All three (3) members’ orientation is still in progress. All three (3) staff members have emergency information forms, health questionnaire forms, TB screening, medical statements in files. E. Wintle hired on 2/3/25 has completed CPR/First Aid training and Recognizing and Responding to Suspicions of Child Maltreatment Training. All three staff members have reviewed and signed the program’s Shaken Baby Syndrome policy. Per Ms. Kelley, the review for the Emergency Medical Care Plans and Emergency Preparedness and Response plans were reviewed with staff members during the staff meetings. The updated date of CPR/First Aid training for S. Trigueros was 2/18/27. There were no laps between previous training and the current training. T. Sebastian was hired on 2/4/25 and H. Pettit was hired on 2/17/25. Application dates, first date of employment, criminal background letters, emergency information form, TB form, Medical statement, Shaken Baby policy review and the date of operational/personnel policies were available for the staff members. Three (3) existing staff files were monitored in full. The dates for Staff Development plan and Annual Staff Evaluation for L. Allen were not completed on the Staff and Training Worksheet. They were both completed on 1/22/25. Due to the existing staff files reviewed during today’s visits being relatively new, two additional two (2) existing staff files were reviewed partially for on-going training hours. Both T. Rogers and S. Trice met the required training hours for the previous year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. 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. During breakfast, cubed pears were served while blueberries were listed on the menu in the hallway. For lunch, apple sauce were served to the children, but bananas were listed on the menu in the hallway. The substitute items were not added to the menu prior to serving the children. 10A NCAC 09 .0901(b) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In space #2, a bottled beverage with a name of the child and the date of 3/3 were stored in the refrigerator. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's feeding plan was not signed by the parent in space #2. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was a thermometer in the refrigerator in space #3, but the device was not on turned on, and the temperature was not indicated. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Bar Keepers Friend Cleanser was stored on the top shelf in the far left cabinet in space #7. The door of the cabinet was not locked. .2820(b) 847 Parent's medication authorization did not include required information. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The information of preferred choice of health professional was not filled out on the emergency information form for a staff member employed on 9/9/24. .0701(a) 1314 Emergency information did not name child's health care professional. he preferred choice of health care professional was not filled out for a child (SC) in space #9. .0802(c)(2) Technical assistance was provided as follows: 528: Food substitution Food substitution of comparable food value shall be recorded on the menu prior to the meal or snack being served. Today, pear was provided instead of blueberries for breakfast, and apple sauce was provided instead of bananas for lunch. If different items rather than what were listed on the menu are served, the menu must be corrected prior to serving children. I advise to limit the places where you post the menu to one location where the parents can see for the ease of compliance for this item. 535: Beverage Any excess formula, thawed human milk and/or other bottled beverage shall be discarded or returned home at the end of each day. One child’s bottle with a label of 3/3(/2025) was left in the refrigerator. Please discard all leftover formula, breast milk and other bottled beverages at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 541: Feeding Plans The written feeding plan shall include the child's name, parent signature, and/or was not dated when received by the center. Refer to 10A NCAC 09 .0902(a). 601: Refrigerator Temperature Refrigerator(s) shall maintain a temperature of 45 degrees F. or below. In order to maintain the correct temperature, a device to measure the temperature must be installed in the refrigerator. One (1) child’s feeding plan in space #2 was not signed. Please have the parent sign the plan. Refer to 15 NCAC 18A .2806(j)(2). 840: Hazardous Products Hazardous products must be stored in a locked storage. Bar Keepers Friend Cleanser was stored on the top shelf of the left cabinet in space #7, and the cabinet door was not locked. The cabinet doors where the chemicals are stored shall be locked at all times. Refer to 15A NCAC 18A .2820(b). 847: Medication authorization form Medication authorization form must be current at all times. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. Parents shall renew the authorization form. You shall hold applying the diaper creams until the new forms are obtained. Refer to 10A NCAC 09 .0803(4)(6-9). 1035: Emergency Information Form Emergency information form with the required information must be in each staff file on or prior to first day of employment. The name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional are the required information. The preferred choice of health care professional was not written on the emergency information form for M. Y. Sierra who was employed on 9/9/24. Please have the staff member fill out the section. Refer to 10A NCAC 09 .0801(a). 1314: Emergency information on the child’s application form Emergency information shall contain name, child’s health care professional. The preferred choice of health care professional was not filled out for a child (SC) in space #9. Please refer to 10A NCAC 09 .0802(c)(2). Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 1053: Health and Safety Training Health and Safety Training shall be completed within one (1) year of employment and every five (5) year thereafter. A. Acosta, who was hired on 10/23/23 completed his/her/their Health and Safety Training on 1/21/25. Moving forward, all staff members shall complete their Health and Safety training within one (1) year of employment. 1067: Orientation Each new employee shall complete, within the first two weeks of employment, six clock hours of training in the required topic areas. The date of the first two (2) weeks of training was not logged on the orientation sheet for H. Pettit, who was hired on 2/17/25. The orientation sheet shall be filled out as each topics are reviewed. 1232: Staff Development Plan and Annual Staff Evaluation Each employee’s personnel file shall contain an annual staff evaluation and a staff development plan. L. Iobst’s Staff Development Plan (SDP) and Annual Staff Evaluation (ASE) were not completed on or before 2/27/25. S. Henriquez’s SDP and ASE were not completed on or before 2/19/25. Both of the staff members’ SDP and ASE shall be completed and filed as soon as possible. 1897: Recognizing and Responding to Suspicions of Child Maltreatment The child care administrator and all staff shall complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed by A. Acosta who was hired on 10/23/23 before the due date of 1/21/24. Also, A. Warren completed the training on 6/3/24 on the Prosolution site rather than Prevent Child Abuse website. Please have A. Warren to complete the training on the Prevent Child Abuse website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Health and Safety Training: Per Ms. Kelley, only administrative staff members administer medications to the children per program policy. We discussed the requirements for the Health and Safety training. Per 10A NCAC 09 .1102(b)(1-11), the training on the following topics must be completed within a year of employment as well as every five (5) years following the initial completion of the training. Only transportation training is required for applicable programs. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b)The health and safety training shall include the following topic areas: (1)Prevention and control of infectious diseases, including immunization; (2)Administration of medication, with standards for parental consent; (3)Prevention of and response to emergencies due to food and allergic reactions; (4)Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5)Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6)Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7)Precautions in transporting children, if applicable; (8)Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9)CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10)Recognizing and reporting child abuse, child neglect, and child maltreatment; Reminders: Space #1: Action plan for Ventolin HFA will expire on 4/15/25. You must renew the action plan as well as the authorization form on or prior to 4/15/25. Authorization form for Mineral Sunscreen, Coppertone Pure & Simple Sun Protection, Boudreaux’s Butt Paste and Eucerin Original Healing Lotion will expire on 4/8/25. 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. Space #4: Menzatin will expire in April 2025. Destin Maximum Strength will expire in March 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 54 Completed Date: 3/4/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:10 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Kelley accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 2/19/25. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 2/27/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/28/25. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 9/9/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of eight (8) children, two-to-three years of age, were present with three (3) staff members. The children played with Legos and pretend people. Some children played Hide and Seek with a teacher. Breakfast was served during the visit. Rice cereals, cubed pears and milk were served. Diaper creams and one (1) emergency medication were maintained in the classroom. In space #2, a group of four (1) infants and two (2) staff members were present. One (1) child was on the bopper, two (2) children were held and one (1) sat on the floor and played with rattles. Sleep check, Safe sleep posters, feeding plans were posted. Two (2) evacuation cribs were present. One (1) emergency medications and diaper creams were maintained in this classroom. In space #3, a group of six (6) children, infants and one (1) year of age, were present with two (2) staff members. The children explored the environment. One (1) teacher read a book to a child. One (1) child, one (1) year of age joined the children in space #4 for outside time. Thermometer in the refrigerator was not turned on due to batteries ran out. The children in space #4 played on the playground. The children played with a portable slide and riding toys. There were seven (7) children, all one (1) year of age plus one (1) child from space #3, also one (1) year of age, present with three (3) staff members. In space #5, seven (7) children, two-to-three years of age, were present with three (3) staff members. Lunch was observed in this classroom. Honey Mustard chicken, sweet potatoes, apple sauce, egg noodles and milk were served. The children from space #6 played on the playground. The children played with bikes, a sandbox and other materials. There were eight (8) children, two-to-three years of age, present with three (3) staff members. The children from space #7 also played on the playground with the children in space #6. No diaper creams or medications are maintained in the classroom. Space #8 is used by Home-Based families. One (1) child with one (1) parent was present during the visit. Home-Based children are enrolled in the program, and their files were available electronically. Space #9 is NC Pre-K classroom. Seven (7) children, three-to-four years of age, were present with two (2) staff members. The group transitioned to the playground. The children played with bikes and expired the environment. In space #10, a group of eight (8) children, three-to-four years of age, transitioned from the classroom to the playground. There were two (2) staff members present. Interaction and supervision were adequate during the visit. Eight (8) children’s files were monitored. Ten (10) new staff files were monitored. Three (3) new staff members were not listed on the Staff and Training Worksheet. Their names were added to the worksheet during the visit. All three (3) members’ orientation is still in progress. All three (3) staff members have emergency information forms, health questionnaire forms, TB screening, medical statements in files. E. Wintle hired on 2/3/25 has completed CPR/First Aid training and Recognizing and Responding to Suspicions of Child Maltreatment Training. All three staff members have reviewed and signed the program’s Shaken Baby Syndrome policy. Per Ms. Kelley, the review for the Emergency Medical Care Plans and Emergency Preparedness and Response plans were reviewed with staff members during the staff meetings. The updated date of CPR/First Aid training for S. Trigueros was 2/18/27. There were no laps between previous training and the current training. T. Sebastian was hired on 2/4/25 and H. Pettit was hired on 2/17/25. Application dates, first date of employment, criminal background letters, emergency information form, TB form, Medical statement, Shaken Baby policy review and the date of operational/personnel policies were available for the staff members. Three (3) existing staff files were monitored in full. The dates for Staff Development plan and Annual Staff Evaluation for L. Allen were not completed on the Staff and Training Worksheet. They were both completed on 1/22/25. Due to the existing staff files reviewed during today’s visits being relatively new, two additional two (2) existing staff files were reviewed partially for on-going training hours. Both T. Rogers and S. Trice met the required training hours for the previous year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. 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. During breakfast, cubed pears were served while blueberries were listed on the menu in the hallway. For lunch, apple sauce were served to the children, but bananas were listed on the menu in the hallway. The substitute items were not added to the menu prior to serving the children. 10A NCAC 09 .0901(b) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In space #2, a bottled beverage with a name of the child and the date of 3/3 were stored in the refrigerator. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's feeding plan was not signed by the parent in space #2. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was a thermometer in the refrigerator in space #3, but the device was not on turned on, and the temperature was not indicated. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Bar Keepers Friend Cleanser was stored on the top shelf in the far left cabinet in space #7. The door of the cabinet was not locked. .2820(b) 847 Parent's medication authorization did not include required information. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The information of preferred choice of health professional was not filled out on the emergency information form for a staff member employed on 9/9/24. .0701(a) 1314 Emergency information did not name child's health care professional. he preferred choice of health care professional was not filled out for a child (SC) in space #9. .0802(c)(2) Technical assistance was provided as follows: 528: Food substitution Food substitution of comparable food value shall be recorded on the menu prior to the meal or snack being served. Today, pear was provided instead of blueberries for breakfast, and apple sauce was provided instead of bananas for lunch. If different items rather than what were listed on the menu are served, the menu must be corrected prior to serving children. I advise to limit the places where you post the menu to one location where the parents can see for the ease of compliance for this item. 535: Beverage Any excess formula, thawed human milk and/or other bottled beverage shall be discarded or returned home at the end of each day. One child’s bottle with a label of 3/3(/2025) was left in the refrigerator. Please discard all leftover formula, breast milk and other bottled beverages at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 541: Feeding Plans The written feeding plan shall include the child's name, parent signature, and/or was not dated when received by the center. Refer to 10A NCAC 09 .0902(a). 601: Refrigerator Temperature Refrigerator(s) shall maintain a temperature of 45 degrees F. or below. In order to maintain the correct temperature, a device to measure the temperature must be installed in the refrigerator. One (1) child’s feeding plan in space #2 was not signed. Please have the parent sign the plan. Refer to 15 NCAC 18A .2806(j)(2). 840: Hazardous Products Hazardous products must be stored in a locked storage. Bar Keepers Friend Cleanser was stored on the top shelf of the left cabinet in space #7, and the cabinet door was not locked. The cabinet doors where the chemicals are stored shall be locked at all times. Refer to 15A NCAC 18A .2820(b). 847: Medication authorization form Medication authorization form must be current at all times. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. Parents shall renew the authorization form. You shall hold applying the diaper creams until the new forms are obtained. Refer to 10A NCAC 09 .0803(4)(6-9). 1035: Emergency Information Form Emergency information form with the required information must be in each staff file on or prior to first day of employment. The name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional are the required information. The preferred choice of health care professional was not written on the emergency information form for M. Y. Sierra who was employed on 9/9/24. Please have the staff member fill out the section. Refer to 10A NCAC 09 .0801(a). 1314: Emergency information on the child’s application form Emergency information shall contain name, child’s health care professional. The preferred choice of health care professional was not filled out for a child (SC) in space #9. Please refer to 10A NCAC 09 .0802(c)(2). Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 1053: Health and Safety Training Health and Safety Training shall be completed within one (1) year of employment and every five (5) year thereafter. A. Acosta, who was hired on 10/23/23 completed his/her/their Health and Safety Training on 1/21/25. Moving forward, all staff members shall complete their Health and Safety training within one (1) year of employment. 1067: Orientation Each new employee shall complete, within the first two weeks of employment, six clock hours of training in the required topic areas. The date of the first two (2) weeks of training was not logged on the orientation sheet for H. Pettit, who was hired on 2/17/25. The orientation sheet shall be filled out as each topics are reviewed. 1232: Staff Development Plan and Annual Staff Evaluation Each employee’s personnel file shall contain an annual staff evaluation and a staff development plan. L. Iobst’s Staff Development Plan (SDP) and Annual Staff Evaluation (ASE) were not completed on or before 2/27/25. S. Henriquez’s SDP and ASE were not completed on or before 2/19/25. Both of the staff members’ SDP and ASE shall be completed and filed as soon as possible. 1897: Recognizing and Responding to Suspicions of Child Maltreatment The child care administrator and all staff shall complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed by A. Acosta who was hired on 10/23/23 before the due date of 1/21/24. Also, A. Warren completed the training on 6/3/24 on the Prosolution site rather than Prevent Child Abuse website. Please have A. Warren to complete the training on the Prevent Child Abuse website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Health and Safety Training: Per Ms. Kelley, only administrative staff members administer medications to the children per program policy. We discussed the requirements for the Health and Safety training. Per 10A NCAC 09 .1102(b)(1-11), the training on the following topics must be completed within a year of employment as well as every five (5) years following the initial completion of the training. Only transportation training is required for applicable programs. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b)The health and safety training shall include the following topic areas: (1)Prevention and control of infectious diseases, including immunization; (2)Administration of medication, with standards for parental consent; (3)Prevention of and response to emergencies due to food and allergic reactions; (4)Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5)Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6)Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7)Precautions in transporting children, if applicable; (8)Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9)CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10)Recognizing and reporting child abuse, child neglect, and child maltreatment; Reminders: Space #1: Action plan for Ventolin HFA will expire on 4/15/25. You must renew the action plan as well as the authorization form on or prior to 4/15/25. Authorization form for Mineral Sunscreen, Coppertone Pure & Simple Sun Protection, Boudreaux’s Butt Paste and Eucerin Original Healing Lotion will expire on 4/8/25. 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. Space #4: Menzatin will expire in April 2025. Destin Maximum Strength will expire in March 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 54 Completed Date: 3/4/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:10 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Kelley accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 2/19/25. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 2/27/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/28/25. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 9/9/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of eight (8) children, two-to-three years of age, were present with three (3) staff members. The children played with Legos and pretend people. Some children played Hide and Seek with a teacher. Breakfast was served during the visit. Rice cereals, cubed pears and milk were served. Diaper creams and one (1) emergency medication were maintained in the classroom. In space #2, a group of four (1) infants and two (2) staff members were present. One (1) child was on the bopper, two (2) children were held and one (1) sat on the floor and played with rattles. Sleep check, Safe sleep posters, feeding plans were posted. Two (2) evacuation cribs were present. One (1) emergency medications and diaper creams were maintained in this classroom. In space #3, a group of six (6) children, infants and one (1) year of age, were present with two (2) staff members. The children explored the environment. One (1) teacher read a book to a child. One (1) child, one (1) year of age joined the children in space #4 for outside time. Thermometer in the refrigerator was not turned on due to batteries ran out. The children in space #4 played on the playground. The children played with a portable slide and riding toys. There were seven (7) children, all one (1) year of age plus one (1) child from space #3, also one (1) year of age, present with three (3) staff members. In space #5, seven (7) children, two-to-three years of age, were present with three (3) staff members. Lunch was observed in this classroom. Honey Mustard chicken, sweet potatoes, apple sauce, egg noodles and milk were served. The children from space #6 played on the playground. The children played with bikes, a sandbox and other materials. There were eight (8) children, two-to-three years of age, present with three (3) staff members. The children from space #7 also played on the playground with the children in space #6. No diaper creams or medications are maintained in the classroom. Space #8 is used by Home-Based families. One (1) child with one (1) parent was present during the visit. Home-Based children are enrolled in the program, and their files were available electronically. Space #9 is NC Pre-K classroom. Seven (7) children, three-to-four years of age, were present with two (2) staff members. The group transitioned to the playground. The children played with bikes and expired the environment. In space #10, a group of eight (8) children, three-to-four years of age, transitioned from the classroom to the playground. There were two (2) staff members present. Interaction and supervision were adequate during the visit. Eight (8) children’s files were monitored. Ten (10) new staff files were monitored. Three (3) new staff members were not listed on the Staff and Training Worksheet. Their names were added to the worksheet during the visit. All three (3) members’ orientation is still in progress. All three (3) staff members have emergency information forms, health questionnaire forms, TB screening, medical statements in files. E. Wintle hired on 2/3/25 has completed CPR/First Aid training and Recognizing and Responding to Suspicions of Child Maltreatment Training. All three staff members have reviewed and signed the program’s Shaken Baby Syndrome policy. Per Ms. Kelley, the review for the Emergency Medical Care Plans and Emergency Preparedness and Response plans were reviewed with staff members during the staff meetings. The updated date of CPR/First Aid training for S. Trigueros was 2/18/27. There were no laps between previous training and the current training. T. Sebastian was hired on 2/4/25 and H. Pettit was hired on 2/17/25. Application dates, first date of employment, criminal background letters, emergency information form, TB form, Medical statement, Shaken Baby policy review and the date of operational/personnel policies were available for the staff members. Three (3) existing staff files were monitored in full. The dates for Staff Development plan and Annual Staff Evaluation for L. Allen were not completed on the Staff and Training Worksheet. They were both completed on 1/22/25. Due to the existing staff files reviewed during today’s visits being relatively new, two additional two (2) existing staff files were reviewed partially for on-going training hours. Both T. Rogers and S. Trice met the required training hours for the previous year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. 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. During breakfast, cubed pears were served while blueberries were listed on the menu in the hallway. For lunch, apple sauce were served to the children, but bananas were listed on the menu in the hallway. The substitute items were not added to the menu prior to serving the children. 10A NCAC 09 .0901(b) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In space #2, a bottled beverage with a name of the child and the date of 3/3 were stored in the refrigerator. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's feeding plan was not signed by the parent in space #2. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was a thermometer in the refrigerator in space #3, but the device was not on turned on, and the temperature was not indicated. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Bar Keepers Friend Cleanser was stored on the top shelf in the far left cabinet in space #7. The door of the cabinet was not locked. .2820(b) 847 Parent's medication authorization did not include required information. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The information of preferred choice of health professional was not filled out on the emergency information form for a staff member employed on 9/9/24. .0701(a) 1314 Emergency information did not name child's health care professional. he preferred choice of health care professional was not filled out for a child (SC) in space #9. .0802(c)(2) Technical assistance was provided as follows: 528: Food substitution Food substitution of comparable food value shall be recorded on the menu prior to the meal or snack being served. Today, pear was provided instead of blueberries for breakfast, and apple sauce was provided instead of bananas for lunch. If different items rather than what were listed on the menu are served, the menu must be corrected prior to serving children. I advise to limit the places where you post the menu to one location where the parents can see for the ease of compliance for this item. 535: Beverage Any excess formula, thawed human milk and/or other bottled beverage shall be discarded or returned home at the end of each day. One child’s bottle with a label of 3/3(/2025) was left in the refrigerator. Please discard all leftover formula, breast milk and other bottled beverages at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 541: Feeding Plans The written feeding plan shall include the child's name, parent signature, and/or was not dated when received by the center. Refer to 10A NCAC 09 .0902(a). 601: Refrigerator Temperature Refrigerator(s) shall maintain a temperature of 45 degrees F. or below. In order to maintain the correct temperature, a device to measure the temperature must be installed in the refrigerator. One (1) child’s feeding plan in space #2 was not signed. Please have the parent sign the plan. Refer to 15 NCAC 18A .2806(j)(2). 840: Hazardous Products Hazardous products must be stored in a locked storage. Bar Keepers Friend Cleanser was stored on the top shelf of the left cabinet in space #7, and the cabinet door was not locked. The cabinet doors where the chemicals are stored shall be locked at all times. Refer to 15A NCAC 18A .2820(b). 847: Medication authorization form Medication authorization form must be current at all times. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. Parents shall renew the authorization form. You shall hold applying the diaper creams until the new forms are obtained. Refer to 10A NCAC 09 .0803(4)(6-9). 1035: Emergency Information Form Emergency information form with the required information must be in each staff file on or prior to first day of employment. The name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional are the required information. The preferred choice of health care professional was not written on the emergency information form for M. Y. Sierra who was employed on 9/9/24. Please have the staff member fill out the section. Refer to 10A NCAC 09 .0801(a). 1314: Emergency information on the child’s application form Emergency information shall contain name, child’s health care professional. The preferred choice of health care professional was not filled out for a child (SC) in space #9. Please refer to 10A NCAC 09 .0802(c)(2). Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 1053: Health and Safety Training Health and Safety Training shall be completed within one (1) year of employment and every five (5) year thereafter. A. Acosta, who was hired on 10/23/23 completed his/her/their Health and Safety Training on 1/21/25. Moving forward, all staff members shall complete their Health and Safety training within one (1) year of employment. 1067: Orientation Each new employee shall complete, within the first two weeks of employment, six clock hours of training in the required topic areas. The date of the first two (2) weeks of training was not logged on the orientation sheet for H. Pettit, who was hired on 2/17/25. The orientation sheet shall be filled out as each topics are reviewed. 1232: Staff Development Plan and Annual Staff Evaluation Each employee’s personnel file shall contain an annual staff evaluation and a staff development plan. L. Iobst’s Staff Development Plan (SDP) and Annual Staff Evaluation (ASE) were not completed on or before 2/27/25. S. Henriquez’s SDP and ASE were not completed on or before 2/19/25. Both of the staff members’ SDP and ASE shall be completed and filed as soon as possible. 1897: Recognizing and Responding to Suspicions of Child Maltreatment The child care administrator and all staff shall complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed by A. Acosta who was hired on 10/23/23 before the due date of 1/21/24. Also, A. Warren completed the training on 6/3/24 on the Prosolution site rather than Prevent Child Abuse website. Please have A. Warren to complete the training on the Prevent Child Abuse website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Health and Safety Training: Per Ms. Kelley, only administrative staff members administer medications to the children per program policy. We discussed the requirements for the Health and Safety training. Per 10A NCAC 09 .1102(b)(1-11), the training on the following topics must be completed within a year of employment as well as every five (5) years following the initial completion of the training. Only transportation training is required for applicable programs. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b)The health and safety training shall include the following topic areas: (1)Prevention and control of infectious diseases, including immunization; (2)Administration of medication, with standards for parental consent; (3)Prevention of and response to emergencies due to food and allergic reactions; (4)Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5)Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6)Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7)Precautions in transporting children, if applicable; (8)Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9)CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10)Recognizing and reporting child abuse, child neglect, and child maltreatment; Reminders: Space #1: Action plan for Ventolin HFA will expire on 4/15/25. You must renew the action plan as well as the authorization form on or prior to 4/15/25. Authorization form for Mineral Sunscreen, Coppertone Pure & Simple Sun Protection, Boudreaux’s Butt Paste and Eucerin Original Healing Lotion will expire on 4/8/25. 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. Space #4: Menzatin will expire in April 2025. Destin Maximum Strength will expire in March 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 54 Completed Date: 3/4/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:10 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Kelley accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 2/19/25. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 2/27/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/28/25. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 9/9/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of eight (8) children, two-to-three years of age, were present with three (3) staff members. The children played with Legos and pretend people. Some children played Hide and Seek with a teacher. Breakfast was served during the visit. Rice cereals, cubed pears and milk were served. Diaper creams and one (1) emergency medication were maintained in the classroom. In space #2, a group of four (1) infants and two (2) staff members were present. One (1) child was on the bopper, two (2) children were held and one (1) sat on the floor and played with rattles. Sleep check, Safe sleep posters, feeding plans were posted. Two (2) evacuation cribs were present. One (1) emergency medications and diaper creams were maintained in this classroom. In space #3, a group of six (6) children, infants and one (1) year of age, were present with two (2) staff members. The children explored the environment. One (1) teacher read a book to a child. One (1) child, one (1) year of age joined the children in space #4 for outside time. Thermometer in the refrigerator was not turned on due to batteries ran out. The children in space #4 played on the playground. The children played with a portable slide and riding toys. There were seven (7) children, all one (1) year of age plus one (1) child from space #3, also one (1) year of age, present with three (3) staff members. In space #5, seven (7) children, two-to-three years of age, were present with three (3) staff members. Lunch was observed in this classroom. Honey Mustard chicken, sweet potatoes, apple sauce, egg noodles and milk were served. The children from space #6 played on the playground. The children played with bikes, a sandbox and other materials. There were eight (8) children, two-to-three years of age, present with three (3) staff members. The children from space #7 also played on the playground with the children in space #6. No diaper creams or medications are maintained in the classroom. Space #8 is used by Home-Based families. One (1) child with one (1) parent was present during the visit. Home-Based children are enrolled in the program, and their files were available electronically. Space #9 is NC Pre-K classroom. Seven (7) children, three-to-four years of age, were present with two (2) staff members. The group transitioned to the playground. The children played with bikes and expired the environment. In space #10, a group of eight (8) children, three-to-four years of age, transitioned from the classroom to the playground. There were two (2) staff members present. Interaction and supervision were adequate during the visit. Eight (8) children’s files were monitored. Ten (10) new staff files were monitored. Three (3) new staff members were not listed on the Staff and Training Worksheet. Their names were added to the worksheet during the visit. All three (3) members’ orientation is still in progress. All three (3) staff members have emergency information forms, health questionnaire forms, TB screening, medical statements in files. E. Wintle hired on 2/3/25 has completed CPR/First Aid training and Recognizing and Responding to Suspicions of Child Maltreatment Training. All three staff members have reviewed and signed the program’s Shaken Baby Syndrome policy. Per Ms. Kelley, the review for the Emergency Medical Care Plans and Emergency Preparedness and Response plans were reviewed with staff members during the staff meetings. The updated date of CPR/First Aid training for S. Trigueros was 2/18/27. There were no laps between previous training and the current training. T. Sebastian was hired on 2/4/25 and H. Pettit was hired on 2/17/25. Application dates, first date of employment, criminal background letters, emergency information form, TB form, Medical statement, Shaken Baby policy review and the date of operational/personnel policies were available for the staff members. Three (3) existing staff files were monitored in full. The dates for Staff Development plan and Annual Staff Evaluation for L. Allen were not completed on the Staff and Training Worksheet. They were both completed on 1/22/25. Due to the existing staff files reviewed during today’s visits being relatively new, two additional two (2) existing staff files were reviewed partially for on-going training hours. Both T. Rogers and S. Trice met the required training hours for the previous year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. 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. During breakfast, cubed pears were served while blueberries were listed on the menu in the hallway. For lunch, apple sauce were served to the children, but bananas were listed on the menu in the hallway. The substitute items were not added to the menu prior to serving the children. 10A NCAC 09 .0901(b) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In space #2, a bottled beverage with a name of the child and the date of 3/3 were stored in the refrigerator. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's feeding plan was not signed by the parent in space #2. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was a thermometer in the refrigerator in space #3, but the device was not on turned on, and the temperature was not indicated. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Bar Keepers Friend Cleanser was stored on the top shelf in the far left cabinet in space #7. The door of the cabinet was not locked. .2820(b) 847 Parent's medication authorization did not include required information. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The information of preferred choice of health professional was not filled out on the emergency information form for a staff member employed on 9/9/24. .0701(a) 1314 Emergency information did not name child's health care professional. he preferred choice of health care professional was not filled out for a child (SC) in space #9. .0802(c)(2) Technical assistance was provided as follows: 528: Food substitution Food substitution of comparable food value shall be recorded on the menu prior to the meal or snack being served. Today, pear was provided instead of blueberries for breakfast, and apple sauce was provided instead of bananas for lunch. If different items rather than what were listed on the menu are served, the menu must be corrected prior to serving children. I advise to limit the places where you post the menu to one location where the parents can see for the ease of compliance for this item. 535: Beverage Any excess formula, thawed human milk and/or other bottled beverage shall be discarded or returned home at the end of each day. One child’s bottle with a label of 3/3(/2025) was left in the refrigerator. Please discard all leftover formula, breast milk and other bottled beverages at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 541: Feeding Plans The written feeding plan shall include the child's name, parent signature, and/or was not dated when received by the center. Refer to 10A NCAC 09 .0902(a). 601: Refrigerator Temperature Refrigerator(s) shall maintain a temperature of 45 degrees F. or below. In order to maintain the correct temperature, a device to measure the temperature must be installed in the refrigerator. One (1) child’s feeding plan in space #2 was not signed. Please have the parent sign the plan. Refer to 15 NCAC 18A .2806(j)(2). 840: Hazardous Products Hazardous products must be stored in a locked storage. Bar Keepers Friend Cleanser was stored on the top shelf of the left cabinet in space #7, and the cabinet door was not locked. The cabinet doors where the chemicals are stored shall be locked at all times. Refer to 15A NCAC 18A .2820(b). 847: Medication authorization form Medication authorization form must be current at all times. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. Parents shall renew the authorization form. You shall hold applying the diaper creams until the new forms are obtained. Refer to 10A NCAC 09 .0803(4)(6-9). 1035: Emergency Information Form Emergency information form with the required information must be in each staff file on or prior to first day of employment. The name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional are the required information. The preferred choice of health care professional was not written on the emergency information form for M. Y. Sierra who was employed on 9/9/24. Please have the staff member fill out the section. Refer to 10A NCAC 09 .0801(a). 1314: Emergency information on the child’s application form Emergency information shall contain name, child’s health care professional. The preferred choice of health care professional was not filled out for a child (SC) in space #9. Please refer to 10A NCAC 09 .0802(c)(2). Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 1053: Health and Safety Training Health and Safety Training shall be completed within one (1) year of employment and every five (5) year thereafter. A. Acosta, who was hired on 10/23/23 completed his/her/their Health and Safety Training on 1/21/25. Moving forward, all staff members shall complete their Health and Safety training within one (1) year of employment. 1067: Orientation Each new employee shall complete, within the first two weeks of employment, six clock hours of training in the required topic areas. The date of the first two (2) weeks of training was not logged on the orientation sheet for H. Pettit, who was hired on 2/17/25. The orientation sheet shall be filled out as each topics are reviewed. 1232: Staff Development Plan and Annual Staff Evaluation Each employee’s personnel file shall contain an annual staff evaluation and a staff development plan. L. Iobst’s Staff Development Plan (SDP) and Annual Staff Evaluation (ASE) were not completed on or before 2/27/25. S. Henriquez’s SDP and ASE were not completed on or before 2/19/25. Both of the staff members’ SDP and ASE shall be completed and filed as soon as possible. 1897: Recognizing and Responding to Suspicions of Child Maltreatment The child care administrator and all staff shall complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed by A. Acosta who was hired on 10/23/23 before the due date of 1/21/24. Also, A. Warren completed the training on 6/3/24 on the Prosolution site rather than Prevent Child Abuse website. Please have A. Warren to complete the training on the Prevent Child Abuse website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Health and Safety Training: Per Ms. Kelley, only administrative staff members administer medications to the children per program policy. We discussed the requirements for the Health and Safety training. Per 10A NCAC 09 .1102(b)(1-11), the training on the following topics must be completed within a year of employment as well as every five (5) years following the initial completion of the training. Only transportation training is required for applicable programs. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b)The health and safety training shall include the following topic areas: (1)Prevention and control of infectious diseases, including immunization; (2)Administration of medication, with standards for parental consent; (3)Prevention of and response to emergencies due to food and allergic reactions; (4)Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5)Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6)Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7)Precautions in transporting children, if applicable; (8)Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9)CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10)Recognizing and reporting child abuse, child neglect, and child maltreatment; Reminders: Space #1: Action plan for Ventolin HFA will expire on 4/15/25. You must renew the action plan as well as the authorization form on or prior to 4/15/25. Authorization form for Mineral Sunscreen, Coppertone Pure & Simple Sun Protection, Boudreaux’s Butt Paste and Eucerin Original Healing Lotion will expire on 4/8/25. 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. Space #4: Menzatin will expire in April 2025. Destin Maximum Strength will expire in March 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 54 Completed Date: 3/4/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:10 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Kelley accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 2/19/25. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 2/27/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/28/25. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 9/9/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of eight (8) children, two-to-three years of age, were present with three (3) staff members. The children played with Legos and pretend people. Some children played Hide and Seek with a teacher. Breakfast was served during the visit. Rice cereals, cubed pears and milk were served. Diaper creams and one (1) emergency medication were maintained in the classroom. In space #2, a group of four (1) infants and two (2) staff members were present. One (1) child was on the bopper, two (2) children were held and one (1) sat on the floor and played with rattles. Sleep check, Safe sleep posters, feeding plans were posted. Two (2) evacuation cribs were present. One (1) emergency medications and diaper creams were maintained in this classroom. In space #3, a group of six (6) children, infants and one (1) year of age, were present with two (2) staff members. The children explored the environment. One (1) teacher read a book to a child. One (1) child, one (1) year of age joined the children in space #4 for outside time. Thermometer in the refrigerator was not turned on due to batteries ran out. The children in space #4 played on the playground. The children played with a portable slide and riding toys. There were seven (7) children, all one (1) year of age plus one (1) child from space #3, also one (1) year of age, present with three (3) staff members. In space #5, seven (7) children, two-to-three years of age, were present with three (3) staff members. Lunch was observed in this classroom. Honey Mustard chicken, sweet potatoes, apple sauce, egg noodles and milk were served. The children from space #6 played on the playground. The children played with bikes, a sandbox and other materials. There were eight (8) children, two-to-three years of age, present with three (3) staff members. The children from space #7 also played on the playground with the children in space #6. No diaper creams or medications are maintained in the classroom. Space #8 is used by Home-Based families. One (1) child with one (1) parent was present during the visit. Home-Based children are enrolled in the program, and their files were available electronically. Space #9 is NC Pre-K classroom. Seven (7) children, three-to-four years of age, were present with two (2) staff members. The group transitioned to the playground. The children played with bikes and expired the environment. In space #10, a group of eight (8) children, three-to-four years of age, transitioned from the classroom to the playground. There were two (2) staff members present. Interaction and supervision were adequate during the visit. Eight (8) children’s files were monitored. Ten (10) new staff files were monitored. Three (3) new staff members were not listed on the Staff and Training Worksheet. Their names were added to the worksheet during the visit. All three (3) members’ orientation is still in progress. All three (3) staff members have emergency information forms, health questionnaire forms, TB screening, medical statements in files. E. Wintle hired on 2/3/25 has completed CPR/First Aid training and Recognizing and Responding to Suspicions of Child Maltreatment Training. All three staff members have reviewed and signed the program’s Shaken Baby Syndrome policy. Per Ms. Kelley, the review for the Emergency Medical Care Plans and Emergency Preparedness and Response plans were reviewed with staff members during the staff meetings. The updated date of CPR/First Aid training for S. Trigueros was 2/18/27. There were no laps between previous training and the current training. T. Sebastian was hired on 2/4/25 and H. Pettit was hired on 2/17/25. Application dates, first date of employment, criminal background letters, emergency information form, TB form, Medical statement, Shaken Baby policy review and the date of operational/personnel policies were available for the staff members. Three (3) existing staff files were monitored in full. The dates for Staff Development plan and Annual Staff Evaluation for L. Allen were not completed on the Staff and Training Worksheet. They were both completed on 1/22/25. Due to the existing staff files reviewed during today’s visits being relatively new, two additional two (2) existing staff files were reviewed partially for on-going training hours. Both T. Rogers and S. Trice met the required training hours for the previous year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. 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. During breakfast, cubed pears were served while blueberries were listed on the menu in the hallway. For lunch, apple sauce were served to the children, but bananas were listed on the menu in the hallway. The substitute items were not added to the menu prior to serving the children. 10A NCAC 09 .0901(b) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In space #2, a bottled beverage with a name of the child and the date of 3/3 were stored in the refrigerator. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's feeding plan was not signed by the parent in space #2. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was a thermometer in the refrigerator in space #3, but the device was not on turned on, and the temperature was not indicated. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Bar Keepers Friend Cleanser was stored on the top shelf in the far left cabinet in space #7. The door of the cabinet was not locked. .2820(b) 847 Parent's medication authorization did not include required information. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The information of preferred choice of health professional was not filled out on the emergency information form for a staff member employed on 9/9/24. .0701(a) 1314 Emergency information did not name child's health care professional. he preferred choice of health care professional was not filled out for a child (SC) in space #9. .0802(c)(2) Technical assistance was provided as follows: 528: Food substitution Food substitution of comparable food value shall be recorded on the menu prior to the meal or snack being served. Today, pear was provided instead of blueberries for breakfast, and apple sauce was provided instead of bananas for lunch. If different items rather than what were listed on the menu are served, the menu must be corrected prior to serving children. I advise to limit the places where you post the menu to one location where the parents can see for the ease of compliance for this item. 535: Beverage Any excess formula, thawed human milk and/or other bottled beverage shall be discarded or returned home at the end of each day. One child’s bottle with a label of 3/3(/2025) was left in the refrigerator. Please discard all leftover formula, breast milk and other bottled beverages at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 541: Feeding Plans The written feeding plan shall include the child's name, parent signature, and/or was not dated when received by the center. Refer to 10A NCAC 09 .0902(a). 601: Refrigerator Temperature Refrigerator(s) shall maintain a temperature of 45 degrees F. or below. In order to maintain the correct temperature, a device to measure the temperature must be installed in the refrigerator. One (1) child’s feeding plan in space #2 was not signed. Please have the parent sign the plan. Refer to 15 NCAC 18A .2806(j)(2). 840: Hazardous Products Hazardous products must be stored in a locked storage. Bar Keepers Friend Cleanser was stored on the top shelf of the left cabinet in space #7, and the cabinet door was not locked. The cabinet doors where the chemicals are stored shall be locked at all times. Refer to 15A NCAC 18A .2820(b). 847: Medication authorization form Medication authorization form must be current at all times. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. Parents shall renew the authorization form. You shall hold applying the diaper creams until the new forms are obtained. Refer to 10A NCAC 09 .0803(4)(6-9). 1035: Emergency Information Form Emergency information form with the required information must be in each staff file on or prior to first day of employment. The name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional are the required information. The preferred choice of health care professional was not written on the emergency information form for M. Y. Sierra who was employed on 9/9/24. Please have the staff member fill out the section. Refer to 10A NCAC 09 .0801(a). 1314: Emergency information on the child’s application form Emergency information shall contain name, child’s health care professional. The preferred choice of health care professional was not filled out for a child (SC) in space #9. Please refer to 10A NCAC 09 .0802(c)(2). Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 1053: Health and Safety Training Health and Safety Training shall be completed within one (1) year of employment and every five (5) year thereafter. A. Acosta, who was hired on 10/23/23 completed his/her/their Health and Safety Training on 1/21/25. Moving forward, all staff members shall complete their Health and Safety training within one (1) year of employment. 1067: Orientation Each new employee shall complete, within the first two weeks of employment, six clock hours of training in the required topic areas. The date of the first two (2) weeks of training was not logged on the orientation sheet for H. Pettit, who was hired on 2/17/25. The orientation sheet shall be filled out as each topics are reviewed. 1232: Staff Development Plan and Annual Staff Evaluation Each employee’s personnel file shall contain an annual staff evaluation and a staff development plan. L. Iobst’s Staff Development Plan (SDP) and Annual Staff Evaluation (ASE) were not completed on or before 2/27/25. S. Henriquez’s SDP and ASE were not completed on or before 2/19/25. Both of the staff members’ SDP and ASE shall be completed and filed as soon as possible. 1897: Recognizing and Responding to Suspicions of Child Maltreatment The child care administrator and all staff shall complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed by A. Acosta who was hired on 10/23/23 before the due date of 1/21/24. Also, A. Warren completed the training on 6/3/24 on the Prosolution site rather than Prevent Child Abuse website. Please have A. Warren to complete the training on the Prevent Child Abuse website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Health and Safety Training: Per Ms. Kelley, only administrative staff members administer medications to the children per program policy. We discussed the requirements for the Health and Safety training. Per 10A NCAC 09 .1102(b)(1-11), the training on the following topics must be completed within a year of employment as well as every five (5) years following the initial completion of the training. Only transportation training is required for applicable programs. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b)The health and safety training shall include the following topic areas: (1)Prevention and control of infectious diseases, including immunization; (2)Administration of medication, with standards for parental consent; (3)Prevention of and response to emergencies due to food and allergic reactions; (4)Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5)Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6)Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7)Precautions in transporting children, if applicable; (8)Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9)CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10)Recognizing and reporting child abuse, child neglect, and child maltreatment; Reminders: Space #1: Action plan for Ventolin HFA will expire on 4/15/25. You must renew the action plan as well as the authorization form on or prior to 4/15/25. Authorization form for Mineral Sunscreen, Coppertone Pure & Simple Sun Protection, Boudreaux’s Butt Paste and Eucerin Original Healing Lotion will expire on 4/8/25. 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. Space #4: Menzatin will expire in April 2025. Destin Maximum Strength will expire in March 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 54 Completed Date: 3/4/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:10 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Kelley accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 2/19/25. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 2/27/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/28/25. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 9/9/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of eight (8) children, two-to-three years of age, were present with three (3) staff members. The children played with Legos and pretend people. Some children played Hide and Seek with a teacher. Breakfast was served during the visit. Rice cereals, cubed pears and milk were served. Diaper creams and one (1) emergency medication were maintained in the classroom. In space #2, a group of four (1) infants and two (2) staff members were present. One (1) child was on the bopper, two (2) children were held and one (1) sat on the floor and played with rattles. Sleep check, Safe sleep posters, feeding plans were posted. Two (2) evacuation cribs were present. One (1) emergency medications and diaper creams were maintained in this classroom. In space #3, a group of six (6) children, infants and one (1) year of age, were present with two (2) staff members. The children explored the environment. One (1) teacher read a book to a child. One (1) child, one (1) year of age joined the children in space #4 for outside time. Thermometer in the refrigerator was not turned on due to batteries ran out. The children in space #4 played on the playground. The children played with a portable slide and riding toys. There were seven (7) children, all one (1) year of age plus one (1) child from space #3, also one (1) year of age, present with three (3) staff members. In space #5, seven (7) children, two-to-three years of age, were present with three (3) staff members. Lunch was observed in this classroom. Honey Mustard chicken, sweet potatoes, apple sauce, egg noodles and milk were served. The children from space #6 played on the playground. The children played with bikes, a sandbox and other materials. There were eight (8) children, two-to-three years of age, present with three (3) staff members. The children from space #7 also played on the playground with the children in space #6. No diaper creams or medications are maintained in the classroom. Space #8 is used by Home-Based families. One (1) child with one (1) parent was present during the visit. Home-Based children are enrolled in the program, and their files were available electronically. Space #9 is NC Pre-K classroom. Seven (7) children, three-to-four years of age, were present with two (2) staff members. The group transitioned to the playground. The children played with bikes and expired the environment. In space #10, a group of eight (8) children, three-to-four years of age, transitioned from the classroom to the playground. There were two (2) staff members present. Interaction and supervision were adequate during the visit. Eight (8) children’s files were monitored. Ten (10) new staff files were monitored. Three (3) new staff members were not listed on the Staff and Training Worksheet. Their names were added to the worksheet during the visit. All three (3) members’ orientation is still in progress. All three (3) staff members have emergency information forms, health questionnaire forms, TB screening, medical statements in files. E. Wintle hired on 2/3/25 has completed CPR/First Aid training and Recognizing and Responding to Suspicions of Child Maltreatment Training. All three staff members have reviewed and signed the program’s Shaken Baby Syndrome policy. Per Ms. Kelley, the review for the Emergency Medical Care Plans and Emergency Preparedness and Response plans were reviewed with staff members during the staff meetings. The updated date of CPR/First Aid training for S. Trigueros was 2/18/27. There were no laps between previous training and the current training. T. Sebastian was hired on 2/4/25 and H. Pettit was hired on 2/17/25. Application dates, first date of employment, criminal background letters, emergency information form, TB form, Medical statement, Shaken Baby policy review and the date of operational/personnel policies were available for the staff members. Three (3) existing staff files were monitored in full. The dates for Staff Development plan and Annual Staff Evaluation for L. Allen were not completed on the Staff and Training Worksheet. They were both completed on 1/22/25. Due to the existing staff files reviewed during today’s visits being relatively new, two additional two (2) existing staff files were reviewed partially for on-going training hours. Both T. Rogers and S. Trice met the required training hours for the previous year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. 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. During breakfast, cubed pears were served while blueberries were listed on the menu in the hallway. For lunch, apple sauce were served to the children, but bananas were listed on the menu in the hallway. The substitute items were not added to the menu prior to serving the children. 10A NCAC 09 .0901(b) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In space #2, a bottled beverage with a name of the child and the date of 3/3 were stored in the refrigerator. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's feeding plan was not signed by the parent in space #2. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was a thermometer in the refrigerator in space #3, but the device was not on turned on, and the temperature was not indicated. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Bar Keepers Friend Cleanser was stored on the top shelf in the far left cabinet in space #7. The door of the cabinet was not locked. .2820(b) 847 Parent's medication authorization did not include required information. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The information of preferred choice of health professional was not filled out on the emergency information form for a staff member employed on 9/9/24. .0701(a) 1314 Emergency information did not name child's health care professional. he preferred choice of health care professional was not filled out for a child (SC) in space #9. .0802(c)(2) Technical assistance was provided as follows: 528: Food substitution Food substitution of comparable food value shall be recorded on the menu prior to the meal or snack being served. Today, pear was provided instead of blueberries for breakfast, and apple sauce was provided instead of bananas for lunch. If different items rather than what were listed on the menu are served, the menu must be corrected prior to serving children. I advise to limit the places where you post the menu to one location where the parents can see for the ease of compliance for this item. 535: Beverage Any excess formula, thawed human milk and/or other bottled beverage shall be discarded or returned home at the end of each day. One child’s bottle with a label of 3/3(/2025) was left in the refrigerator. Please discard all leftover formula, breast milk and other bottled beverages at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 541: Feeding Plans The written feeding plan shall include the child's name, parent signature, and/or was not dated when received by the center. Refer to 10A NCAC 09 .0902(a). 601: Refrigerator Temperature Refrigerator(s) shall maintain a temperature of 45 degrees F. or below. In order to maintain the correct temperature, a device to measure the temperature must be installed in the refrigerator. One (1) child’s feeding plan in space #2 was not signed. Please have the parent sign the plan. Refer to 15 NCAC 18A .2806(j)(2). 840: Hazardous Products Hazardous products must be stored in a locked storage. Bar Keepers Friend Cleanser was stored on the top shelf of the left cabinet in space #7, and the cabinet door was not locked. The cabinet doors where the chemicals are stored shall be locked at all times. Refer to 15A NCAC 18A .2820(b). 847: Medication authorization form Medication authorization form must be current at all times. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. Parents shall renew the authorization form. You shall hold applying the diaper creams until the new forms are obtained. Refer to 10A NCAC 09 .0803(4)(6-9). 1035: Emergency Information Form Emergency information form with the required information must be in each staff file on or prior to first day of employment. The name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional are the required information. The preferred choice of health care professional was not written on the emergency information form for M. Y. Sierra who was employed on 9/9/24. Please have the staff member fill out the section. Refer to 10A NCAC 09 .0801(a). 1314: Emergency information on the child’s application form Emergency information shall contain name, child’s health care professional. The preferred choice of health care professional was not filled out for a child (SC) in space #9. Please refer to 10A NCAC 09 .0802(c)(2). Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 1053: Health and Safety Training Health and Safety Training shall be completed within one (1) year of employment and every five (5) year thereafter. A. Acosta, who was hired on 10/23/23 completed his/her/their Health and Safety Training on 1/21/25. Moving forward, all staff members shall complete their Health and Safety training within one (1) year of employment. 1067: Orientation Each new employee shall complete, within the first two weeks of employment, six clock hours of training in the required topic areas. The date of the first two (2) weeks of training was not logged on the orientation sheet for H. Pettit, who was hired on 2/17/25. The orientation sheet shall be filled out as each topics are reviewed. 1232: Staff Development Plan and Annual Staff Evaluation Each employee’s personnel file shall contain an annual staff evaluation and a staff development plan. L. Iobst’s Staff Development Plan (SDP) and Annual Staff Evaluation (ASE) were not completed on or before 2/27/25. S. Henriquez’s SDP and ASE were not completed on or before 2/19/25. Both of the staff members’ SDP and ASE shall be completed and filed as soon as possible. 1897: Recognizing and Responding to Suspicions of Child Maltreatment The child care administrator and all staff shall complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed by A. Acosta who was hired on 10/23/23 before the due date of 1/21/24. Also, A. Warren completed the training on 6/3/24 on the Prosolution site rather than Prevent Child Abuse website. Please have A. Warren to complete the training on the Prevent Child Abuse website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Health and Safety Training: Per Ms. Kelley, only administrative staff members administer medications to the children per program policy. We discussed the requirements for the Health and Safety training. Per 10A NCAC 09 .1102(b)(1-11), the training on the following topics must be completed within a year of employment as well as every five (5) years following the initial completion of the training. Only transportation training is required for applicable programs. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b)The health and safety training shall include the following topic areas: (1)Prevention and control of infectious diseases, including immunization; (2)Administration of medication, with standards for parental consent; (3)Prevention of and response to emergencies due to food and allergic reactions; (4)Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5)Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6)Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7)Precautions in transporting children, if applicable; (8)Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9)CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10)Recognizing and reporting child abuse, child neglect, and child maltreatment; Reminders: Space #1: Action plan for Ventolin HFA will expire on 4/15/25. You must renew the action plan as well as the authorization form on or prior to 4/15/25. Authorization form for Mineral Sunscreen, Coppertone Pure & Simple Sun Protection, Boudreaux’s Butt Paste and Eucerin Original Healing Lotion will expire on 4/8/25. 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. Space #4: Menzatin will expire in April 2025. Destin Maximum Strength will expire in March 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 54 Completed Date: 3/4/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:10 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Kelley accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 2/19/25. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 2/27/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/28/25. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 9/9/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of eight (8) children, two-to-three years of age, were present with three (3) staff members. The children played with Legos and pretend people. Some children played Hide and Seek with a teacher. Breakfast was served during the visit. Rice cereals, cubed pears and milk were served. Diaper creams and one (1) emergency medication were maintained in the classroom. In space #2, a group of four (1) infants and two (2) staff members were present. One (1) child was on the bopper, two (2) children were held and one (1) sat on the floor and played with rattles. Sleep check, Safe sleep posters, feeding plans were posted. Two (2) evacuation cribs were present. One (1) emergency medications and diaper creams were maintained in this classroom. In space #3, a group of six (6) children, infants and one (1) year of age, were present with two (2) staff members. The children explored the environment. One (1) teacher read a book to a child. One (1) child, one (1) year of age joined the children in space #4 for outside time. Thermometer in the refrigerator was not turned on due to batteries ran out. The children in space #4 played on the playground. The children played with a portable slide and riding toys. There were seven (7) children, all one (1) year of age plus one (1) child from space #3, also one (1) year of age, present with three (3) staff members. In space #5, seven (7) children, two-to-three years of age, were present with three (3) staff members. Lunch was observed in this classroom. Honey Mustard chicken, sweet potatoes, apple sauce, egg noodles and milk were served. The children from space #6 played on the playground. The children played with bikes, a sandbox and other materials. There were eight (8) children, two-to-three years of age, present with three (3) staff members. The children from space #7 also played on the playground with the children in space #6. No diaper creams or medications are maintained in the classroom. Space #8 is used by Home-Based families. One (1) child with one (1) parent was present during the visit. Home-Based children are enrolled in the program, and their files were available electronically. Space #9 is NC Pre-K classroom. Seven (7) children, three-to-four years of age, were present with two (2) staff members. The group transitioned to the playground. The children played with bikes and expired the environment. In space #10, a group of eight (8) children, three-to-four years of age, transitioned from the classroom to the playground. There were two (2) staff members present. Interaction and supervision were adequate during the visit. Eight (8) children’s files were monitored. Ten (10) new staff files were monitored. Three (3) new staff members were not listed on the Staff and Training Worksheet. Their names were added to the worksheet during the visit. All three (3) members’ orientation is still in progress. All three (3) staff members have emergency information forms, health questionnaire forms, TB screening, medical statements in files. E. Wintle hired on 2/3/25 has completed CPR/First Aid training and Recognizing and Responding to Suspicions of Child Maltreatment Training. All three staff members have reviewed and signed the program’s Shaken Baby Syndrome policy. Per Ms. Kelley, the review for the Emergency Medical Care Plans and Emergency Preparedness and Response plans were reviewed with staff members during the staff meetings. The updated date of CPR/First Aid training for S. Trigueros was 2/18/27. There were no laps between previous training and the current training. T. Sebastian was hired on 2/4/25 and H. Pettit was hired on 2/17/25. Application dates, first date of employment, criminal background letters, emergency information form, TB form, Medical statement, Shaken Baby policy review and the date of operational/personnel policies were available for the staff members. Three (3) existing staff files were monitored in full. The dates for Staff Development plan and Annual Staff Evaluation for L. Allen were not completed on the Staff and Training Worksheet. They were both completed on 1/22/25. Due to the existing staff files reviewed during today’s visits being relatively new, two additional two (2) existing staff files were reviewed partially for on-going training hours. Both T. Rogers and S. Trice met the required training hours for the previous year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. 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. During breakfast, cubed pears were served while blueberries were listed on the menu in the hallway. For lunch, apple sauce were served to the children, but bananas were listed on the menu in the hallway. The substitute items were not added to the menu prior to serving the children. 10A NCAC 09 .0901(b) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In space #2, a bottled beverage with a name of the child and the date of 3/3 were stored in the refrigerator. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's feeding plan was not signed by the parent in space #2. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was a thermometer in the refrigerator in space #3, but the device was not on turned on, and the temperature was not indicated. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Bar Keepers Friend Cleanser was stored on the top shelf in the far left cabinet in space #7. The door of the cabinet was not locked. .2820(b) 847 Parent's medication authorization did not include required information. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The information of preferred choice of health professional was not filled out on the emergency information form for a staff member employed on 9/9/24. .0701(a) 1314 Emergency information did not name child's health care professional. he preferred choice of health care professional was not filled out for a child (SC) in space #9. .0802(c)(2) Technical assistance was provided as follows: 528: Food substitution Food substitution of comparable food value shall be recorded on the menu prior to the meal or snack being served. Today, pear was provided instead of blueberries for breakfast, and apple sauce was provided instead of bananas for lunch. If different items rather than what were listed on the menu are served, the menu must be corrected prior to serving children. I advise to limit the places where you post the menu to one location where the parents can see for the ease of compliance for this item. 535: Beverage Any excess formula, thawed human milk and/or other bottled beverage shall be discarded or returned home at the end of each day. One child’s bottle with a label of 3/3(/2025) was left in the refrigerator. Please discard all leftover formula, breast milk and other bottled beverages at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 541: Feeding Plans The written feeding plan shall include the child's name, parent signature, and/or was not dated when received by the center. Refer to 10A NCAC 09 .0902(a). 601: Refrigerator Temperature Refrigerator(s) shall maintain a temperature of 45 degrees F. or below. In order to maintain the correct temperature, a device to measure the temperature must be installed in the refrigerator. One (1) child’s feeding plan in space #2 was not signed. Please have the parent sign the plan. Refer to 15 NCAC 18A .2806(j)(2). 840: Hazardous Products Hazardous products must be stored in a locked storage. Bar Keepers Friend Cleanser was stored on the top shelf of the left cabinet in space #7, and the cabinet door was not locked. The cabinet doors where the chemicals are stored shall be locked at all times. Refer to 15A NCAC 18A .2820(b). 847: Medication authorization form Medication authorization form must be current at all times. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. Parents shall renew the authorization form. You shall hold applying the diaper creams until the new forms are obtained. Refer to 10A NCAC 09 .0803(4)(6-9). 1035: Emergency Information Form Emergency information form with the required information must be in each staff file on or prior to first day of employment. The name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional are the required information. The preferred choice of health care professional was not written on the emergency information form for M. Y. Sierra who was employed on 9/9/24. Please have the staff member fill out the section. Refer to 10A NCAC 09 .0801(a). 1314: Emergency information on the child’s application form Emergency information shall contain name, child’s health care professional. The preferred choice of health care professional was not filled out for a child (SC) in space #9. Please refer to 10A NCAC 09 .0802(c)(2). Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 1053: Health and Safety Training Health and Safety Training shall be completed within one (1) year of employment and every five (5) year thereafter. A. Acosta, who was hired on 10/23/23 completed his/her/their Health and Safety Training on 1/21/25. Moving forward, all staff members shall complete their Health and Safety training within one (1) year of employment. 1067: Orientation Each new employee shall complete, within the first two weeks of employment, six clock hours of training in the required topic areas. The date of the first two (2) weeks of training was not logged on the orientation sheet for H. Pettit, who was hired on 2/17/25. The orientation sheet shall be filled out as each topics are reviewed. 1232: Staff Development Plan and Annual Staff Evaluation Each employee’s personnel file shall contain an annual staff evaluation and a staff development plan. L. Iobst’s Staff Development Plan (SDP) and Annual Staff Evaluation (ASE) were not completed on or before 2/27/25. S. Henriquez’s SDP and ASE were not completed on or before 2/19/25. Both of the staff members’ SDP and ASE shall be completed and filed as soon as possible. 1897: Recognizing and Responding to Suspicions of Child Maltreatment The child care administrator and all staff shall complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed by A. Acosta who was hired on 10/23/23 before the due date of 1/21/24. Also, A. Warren completed the training on 6/3/24 on the Prosolution site rather than Prevent Child Abuse website. Please have A. Warren to complete the training on the Prevent Child Abuse website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Health and Safety Training: Per Ms. Kelley, only administrative staff members administer medications to the children per program policy. We discussed the requirements for the Health and Safety training. Per 10A NCAC 09 .1102(b)(1-11), the training on the following topics must be completed within a year of employment as well as every five (5) years following the initial completion of the training. Only transportation training is required for applicable programs. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b)The health and safety training shall include the following topic areas: (1)Prevention and control of infectious diseases, including immunization; (2)Administration of medication, with standards for parental consent; (3)Prevention of and response to emergencies due to food and allergic reactions; (4)Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5)Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6)Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7)Precautions in transporting children, if applicable; (8)Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9)CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10)Recognizing and reporting child abuse, child neglect, and child maltreatment; Reminders: Space #1: Action plan for Ventolin HFA will expire on 4/15/25. You must renew the action plan as well as the authorization form on or prior to 4/15/25. Authorization form for Mineral Sunscreen, Coppertone Pure & Simple Sun Protection, Boudreaux’s Butt Paste and Eucerin Original Healing Lotion will expire on 4/8/25. 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. Space #4: Menzatin will expire in April 2025. Destin Maximum Strength will expire in March 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 54 Completed Date: 3/4/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:10 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Kelley accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 2/19/25. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 2/27/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/28/25. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 9/9/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of eight (8) children, two-to-three years of age, were present with three (3) staff members. The children played with Legos and pretend people. Some children played Hide and Seek with a teacher. Breakfast was served during the visit. Rice cereals, cubed pears and milk were served. Diaper creams and one (1) emergency medication were maintained in the classroom. In space #2, a group of four (1) infants and two (2) staff members were present. One (1) child was on the bopper, two (2) children were held and one (1) sat on the floor and played with rattles. Sleep check, Safe sleep posters, feeding plans were posted. Two (2) evacuation cribs were present. One (1) emergency medications and diaper creams were maintained in this classroom. In space #3, a group of six (6) children, infants and one (1) year of age, were present with two (2) staff members. The children explored the environment. One (1) teacher read a book to a child. One (1) child, one (1) year of age joined the children in space #4 for outside time. Thermometer in the refrigerator was not turned on due to batteries ran out. The children in space #4 played on the playground. The children played with a portable slide and riding toys. There were seven (7) children, all one (1) year of age plus one (1) child from space #3, also one (1) year of age, present with three (3) staff members. In space #5, seven (7) children, two-to-three years of age, were present with three (3) staff members. Lunch was observed in this classroom. Honey Mustard chicken, sweet potatoes, apple sauce, egg noodles and milk were served. The children from space #6 played on the playground. The children played with bikes, a sandbox and other materials. There were eight (8) children, two-to-three years of age, present with three (3) staff members. The children from space #7 also played on the playground with the children in space #6. No diaper creams or medications are maintained in the classroom. Space #8 is used by Home-Based families. One (1) child with one (1) parent was present during the visit. Home-Based children are enrolled in the program, and their files were available electronically. Space #9 is NC Pre-K classroom. Seven (7) children, three-to-four years of age, were present with two (2) staff members. The group transitioned to the playground. The children played with bikes and expired the environment. In space #10, a group of eight (8) children, three-to-four years of age, transitioned from the classroom to the playground. There were two (2) staff members present. Interaction and supervision were adequate during the visit. Eight (8) children’s files were monitored. Ten (10) new staff files were monitored. Three (3) new staff members were not listed on the Staff and Training Worksheet. Their names were added to the worksheet during the visit. All three (3) members’ orientation is still in progress. All three (3) staff members have emergency information forms, health questionnaire forms, TB screening, medical statements in files. E. Wintle hired on 2/3/25 has completed CPR/First Aid training and Recognizing and Responding to Suspicions of Child Maltreatment Training. All three staff members have reviewed and signed the program’s Shaken Baby Syndrome policy. Per Ms. Kelley, the review for the Emergency Medical Care Plans and Emergency Preparedness and Response plans were reviewed with staff members during the staff meetings. The updated date of CPR/First Aid training for S. Trigueros was 2/18/27. There were no laps between previous training and the current training. T. Sebastian was hired on 2/4/25 and H. Pettit was hired on 2/17/25. Application dates, first date of employment, criminal background letters, emergency information form, TB form, Medical statement, Shaken Baby policy review and the date of operational/personnel policies were available for the staff members. Three (3) existing staff files were monitored in full. The dates for Staff Development plan and Annual Staff Evaluation for L. Allen were not completed on the Staff and Training Worksheet. They were both completed on 1/22/25. Due to the existing staff files reviewed during today’s visits being relatively new, two additional two (2) existing staff files were reviewed partially for on-going training hours. Both T. Rogers and S. Trice met the required training hours for the previous year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. 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. During breakfast, cubed pears were served while blueberries were listed on the menu in the hallway. For lunch, apple sauce were served to the children, but bananas were listed on the menu in the hallway. The substitute items were not added to the menu prior to serving the children. 10A NCAC 09 .0901(b) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In space #2, a bottled beverage with a name of the child and the date of 3/3 were stored in the refrigerator. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's feeding plan was not signed by the parent in space #2. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was a thermometer in the refrigerator in space #3, but the device was not on turned on, and the temperature was not indicated. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Bar Keepers Friend Cleanser was stored on the top shelf in the far left cabinet in space #7. The door of the cabinet was not locked. .2820(b) 847 Parent's medication authorization did not include required information. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The information of preferred choice of health professional was not filled out on the emergency information form for a staff member employed on 9/9/24. .0701(a) 1314 Emergency information did not name child's health care professional. he preferred choice of health care professional was not filled out for a child (SC) in space #9. .0802(c)(2) Technical assistance was provided as follows: 528: Food substitution Food substitution of comparable food value shall be recorded on the menu prior to the meal or snack being served. Today, pear was provided instead of blueberries for breakfast, and apple sauce was provided instead of bananas for lunch. If different items rather than what were listed on the menu are served, the menu must be corrected prior to serving children. I advise to limit the places where you post the menu to one location where the parents can see for the ease of compliance for this item. 535: Beverage Any excess formula, thawed human milk and/or other bottled beverage shall be discarded or returned home at the end of each day. One child’s bottle with a label of 3/3(/2025) was left in the refrigerator. Please discard all leftover formula, breast milk and other bottled beverages at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 541: Feeding Plans The written feeding plan shall include the child's name, parent signature, and/or was not dated when received by the center. Refer to 10A NCAC 09 .0902(a). 601: Refrigerator Temperature Refrigerator(s) shall maintain a temperature of 45 degrees F. or below. In order to maintain the correct temperature, a device to measure the temperature must be installed in the refrigerator. One (1) child’s feeding plan in space #2 was not signed. Please have the parent sign the plan. Refer to 15 NCAC 18A .2806(j)(2). 840: Hazardous Products Hazardous products must be stored in a locked storage. Bar Keepers Friend Cleanser was stored on the top shelf of the left cabinet in space #7, and the cabinet door was not locked. The cabinet doors where the chemicals are stored shall be locked at all times. Refer to 15A NCAC 18A .2820(b). 847: Medication authorization form Medication authorization form must be current at all times. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. Parents shall renew the authorization form. You shall hold applying the diaper creams until the new forms are obtained. Refer to 10A NCAC 09 .0803(4)(6-9). 1035: Emergency Information Form Emergency information form with the required information must be in each staff file on or prior to first day of employment. The name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional are the required information. The preferred choice of health care professional was not written on the emergency information form for M. Y. Sierra who was employed on 9/9/24. Please have the staff member fill out the section. Refer to 10A NCAC 09 .0801(a). 1314: Emergency information on the child’s application form Emergency information shall contain name, child’s health care professional. The preferred choice of health care professional was not filled out for a child (SC) in space #9. Please refer to 10A NCAC 09 .0802(c)(2). Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 1053: Health and Safety Training Health and Safety Training shall be completed within one (1) year of employment and every five (5) year thereafter. A. Acosta, who was hired on 10/23/23 completed his/her/their Health and Safety Training on 1/21/25. Moving forward, all staff members shall complete their Health and Safety training within one (1) year of employment. 1067: Orientation Each new employee shall complete, within the first two weeks of employment, six clock hours of training in the required topic areas. The date of the first two (2) weeks of training was not logged on the orientation sheet for H. Pettit, who was hired on 2/17/25. The orientation sheet shall be filled out as each topics are reviewed. 1232: Staff Development Plan and Annual Staff Evaluation Each employee’s personnel file shall contain an annual staff evaluation and a staff development plan. L. Iobst’s Staff Development Plan (SDP) and Annual Staff Evaluation (ASE) were not completed on or before 2/27/25. S. Henriquez’s SDP and ASE were not completed on or before 2/19/25. Both of the staff members’ SDP and ASE shall be completed and filed as soon as possible. 1897: Recognizing and Responding to Suspicions of Child Maltreatment The child care administrator and all staff shall complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed by A. Acosta who was hired on 10/23/23 before the due date of 1/21/24. Also, A. Warren completed the training on 6/3/24 on the Prosolution site rather than Prevent Child Abuse website. Please have A. Warren to complete the training on the Prevent Child Abuse website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Health and Safety Training: Per Ms. Kelley, only administrative staff members administer medications to the children per program policy. We discussed the requirements for the Health and Safety training. Per 10A NCAC 09 .1102(b)(1-11), the training on the following topics must be completed within a year of employment as well as every five (5) years following the initial completion of the training. Only transportation training is required for applicable programs. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b)The health and safety training shall include the following topic areas: (1)Prevention and control of infectious diseases, including immunization; (2)Administration of medication, with standards for parental consent; (3)Prevention of and response to emergencies due to food and allergic reactions; (4)Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5)Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6)Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7)Precautions in transporting children, if applicable; (8)Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9)CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10)Recognizing and reporting child abuse, child neglect, and child maltreatment; Reminders: Space #1: Action plan for Ventolin HFA will expire on 4/15/25. You must renew the action plan as well as the authorization form on or prior to 4/15/25. Authorization form for Mineral Sunscreen, Coppertone Pure & Simple Sun Protection, Boudreaux’s Butt Paste and Eucerin Original Healing Lotion will expire on 4/8/25. 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. Space #4: Menzatin will expire in April 2025. Destin Maximum Strength will expire in March 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/4/2025 Number Present: 54 Completed Date: 3/4/2025 Age: From 0 To 4 Total Minutes: 420 Time In: 09:10 AM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Kelley accompanied me. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 2/19/25. Permit type – five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 2/27/25. The last shelter-in-place drill was practiced on 1/25/25. The last playground inspection was documented on 2/28/25. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 9/9/24 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of eight (8) children, two-to-three years of age, were present with three (3) staff members. The children played with Legos and pretend people. Some children played Hide and Seek with a teacher. Breakfast was served during the visit. Rice cereals, cubed pears and milk were served. Diaper creams and one (1) emergency medication were maintained in the classroom. In space #2, a group of four (1) infants and two (2) staff members were present. One (1) child was on the bopper, two (2) children were held and one (1) sat on the floor and played with rattles. Sleep check, Safe sleep posters, feeding plans were posted. Two (2) evacuation cribs were present. One (1) emergency medications and diaper creams were maintained in this classroom. In space #3, a group of six (6) children, infants and one (1) year of age, were present with two (2) staff members. The children explored the environment. One (1) teacher read a book to a child. One (1) child, one (1) year of age joined the children in space #4 for outside time. Thermometer in the refrigerator was not turned on due to batteries ran out. The children in space #4 played on the playground. The children played with a portable slide and riding toys. There were seven (7) children, all one (1) year of age plus one (1) child from space #3, also one (1) year of age, present with three (3) staff members. In space #5, seven (7) children, two-to-three years of age, were present with three (3) staff members. Lunch was observed in this classroom. Honey Mustard chicken, sweet potatoes, apple sauce, egg noodles and milk were served. The children from space #6 played on the playground. The children played with bikes, a sandbox and other materials. There were eight (8) children, two-to-three years of age, present with three (3) staff members. The children from space #7 also played on the playground with the children in space #6. No diaper creams or medications are maintained in the classroom. Space #8 is used by Home-Based families. One (1) child with one (1) parent was present during the visit. Home-Based children are enrolled in the program, and their files were available electronically. Space #9 is NC Pre-K classroom. Seven (7) children, three-to-four years of age, were present with two (2) staff members. The group transitioned to the playground. The children played with bikes and expired the environment. In space #10, a group of eight (8) children, three-to-four years of age, transitioned from the classroom to the playground. There were two (2) staff members present. Interaction and supervision were adequate during the visit. Eight (8) children’s files were monitored. Ten (10) new staff files were monitored. Three (3) new staff members were not listed on the Staff and Training Worksheet. Their names were added to the worksheet during the visit. All three (3) members’ orientation is still in progress. All three (3) staff members have emergency information forms, health questionnaire forms, TB screening, medical statements in files. E. Wintle hired on 2/3/25 has completed CPR/First Aid training and Recognizing and Responding to Suspicions of Child Maltreatment Training. All three staff members have reviewed and signed the program’s Shaken Baby Syndrome policy. Per Ms. Kelley, the review for the Emergency Medical Care Plans and Emergency Preparedness and Response plans were reviewed with staff members during the staff meetings. The updated date of CPR/First Aid training for S. Trigueros was 2/18/27. There were no laps between previous training and the current training. T. Sebastian was hired on 2/4/25 and H. Pettit was hired on 2/17/25. Application dates, first date of employment, criminal background letters, emergency information form, TB form, Medical statement, Shaken Baby policy review and the date of operational/personnel policies were available for the staff members. Three (3) existing staff files were monitored in full. The dates for Staff Development plan and Annual Staff Evaluation for L. Allen were not completed on the Staff and Training Worksheet. They were both completed on 1/22/25. Due to the existing staff files reviewed during today’s visits being relatively new, two additional two (2) existing staff files were reviewed partially for on-going training hours. Both T. Rogers and S. Trice met the required training hours for the previous year. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. One (1) NC Pre-K child’s file was monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. 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. During breakfast, cubed pears were served while blueberries were listed on the menu in the hallway. For lunch, apple sauce were served to the children, but bananas were listed on the menu in the hallway. The substitute items were not added to the menu prior to serving the children. 10A NCAC 09 .0901(b) 535 Any excess formula, thawed human milk and/or bottled beverage were not discarded or returned home at the end of each day. In space #2, a bottled beverage with a name of the child and the date of 3/3 were stored in the refrigerator. 15A NCAC 18A .2804(d) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) child's feeding plan was not signed by the parent in space #2. .0902(a) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was a thermometer in the refrigerator in space #3, but the device was not on turned on, and the temperature was not indicated. 15A NCAC 18A .2806(j)(2) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. A bottle of Bar Keepers Friend Cleanser was stored on the top shelf in the far left cabinet in space #7. The door of the cabinet was not locked. .2820(b) 847 Parent's medication authorization did not include required information. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. 10A NCAC 09 .0803(4)(6-9) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The information of preferred choice of health professional was not filled out on the emergency information form for a staff member employed on 9/9/24. .0701(a) 1314 Emergency information did not name child's health care professional. he preferred choice of health care professional was not filled out for a child (SC) in space #9. .0802(c)(2) Technical assistance was provided as follows: 528: Food substitution Food substitution of comparable food value shall be recorded on the menu prior to the meal or snack being served. Today, pear was provided instead of blueberries for breakfast, and apple sauce was provided instead of bananas for lunch. If different items rather than what were listed on the menu are served, the menu must be corrected prior to serving children. I advise to limit the places where you post the menu to one location where the parents can see for the ease of compliance for this item. 535: Beverage Any excess formula, thawed human milk and/or other bottled beverage shall be discarded or returned home at the end of each day. One child’s bottle with a label of 3/3(/2025) was left in the refrigerator. Please discard all leftover formula, breast milk and other bottled beverages at the end of each day. 15A NCAC 18A .2804 FOOD SUPPLIES (d) After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 541: Feeding Plans The written feeding plan shall include the child's name, parent signature, and/or was not dated when received by the center. Refer to 10A NCAC 09 .0902(a). 601: Refrigerator Temperature Refrigerator(s) shall maintain a temperature of 45 degrees F. or below. In order to maintain the correct temperature, a device to measure the temperature must be installed in the refrigerator. One (1) child’s feeding plan in space #2 was not signed. Please have the parent sign the plan. Refer to 15 NCAC 18A .2806(j)(2). 840: Hazardous Products Hazardous products must be stored in a locked storage. Bar Keepers Friend Cleanser was stored on the top shelf of the left cabinet in space #7, and the cabinet door was not locked. The cabinet doors where the chemicals are stored shall be locked at all times. Refer to 15A NCAC 18A .2820(b). 847: Medication authorization form Medication authorization form must be current at all times. The authorization forms for Baby Dove Lotion expired on 2/1/25 and Petroleum Jelly expired on 1/2/25 in space #1. Parents shall renew the authorization form. You shall hold applying the diaper creams until the new forms are obtained. Refer to 10A NCAC 09 .0803(4)(6-9). 1035: Emergency Information Form Emergency information form with the required information must be in each staff file on or prior to first day of employment. The name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional are the required information. The preferred choice of health care professional was not written on the emergency information form for M. Y. Sierra who was employed on 9/9/24. Please have the staff member fill out the section. Refer to 10A NCAC 09 .0801(a). 1314: Emergency information on the child’s application form Emergency information shall contain name, child’s health care professional. The preferred choice of health care professional was not filled out for a child (SC) in space #9. Please refer to 10A NCAC 09 .0802(c)(2). Due to the effects of tropical storm Helene, additional time is permitted to meet compliance for the following items: 1053: Health and Safety Training Health and Safety Training shall be completed within one (1) year of employment and every five (5) year thereafter. A. Acosta, who was hired on 10/23/23 completed his/her/their Health and Safety Training on 1/21/25. Moving forward, all staff members shall complete their Health and Safety training within one (1) year of employment. 1067: Orientation Each new employee shall complete, within the first two weeks of employment, six clock hours of training in the required topic areas. The date of the first two (2) weeks of training was not logged on the orientation sheet for H. Pettit, who was hired on 2/17/25. The orientation sheet shall be filled out as each topics are reviewed. 1232: Staff Development Plan and Annual Staff Evaluation Each employee’s personnel file shall contain an annual staff evaluation and a staff development plan. L. Iobst’s Staff Development Plan (SDP) and Annual Staff Evaluation (ASE) were not completed on or before 2/27/25. S. Henriquez’s SDP and ASE were not completed on or before 2/19/25. Both of the staff members’ SDP and ASE shall be completed and filed as soon as possible. 1897: Recognizing and Responding to Suspicions of Child Maltreatment The child care administrator and all staff shall complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. The training was not completed by A. Acosta who was hired on 10/23/23 before the due date of 1/21/24. Also, A. Warren completed the training on 6/3/24 on the Prosolution site rather than Prevent Child Abuse website. Please have A. Warren to complete the training on the Prevent Child Abuse website. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g)The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Health and Safety Training: Per Ms. Kelley, only administrative staff members administer medications to the children per program policy. We discussed the requirements for the Health and Safety training. Per 10A NCAC 09 .1102(b)(1-11), the training on the following topics must be completed within a year of employment as well as every five (5) years following the initial completion of the training. Only transportation training is required for applicable programs. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b)The health and safety training shall include the following topic areas: (1)Prevention and control of infectious diseases, including immunization; (2)Administration of medication, with standards for parental consent; (3)Prevention of and response to emergencies due to food and allergic reactions; (4)Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5)Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6)Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7)Precautions in transporting children, if applicable; (8)Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9)CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10)Recognizing and reporting child abuse, child neglect, and child maltreatment; Reminders: Space #1: Action plan for Ventolin HFA will expire on 4/15/25. You must renew the action plan as well as the authorization form on or prior to 4/15/25. Authorization form for Mineral Sunscreen, Coppertone Pure & Simple Sun Protection, Boudreaux’s Butt Paste and Eucerin Original Healing Lotion will expire on 4/8/25. 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. Space #4: Menzatin will expire in April 2025. Destin Maximum Strength will expire in March 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 37 Completed Date: 8/27/2024 Age: From 0 To 4 Total Minutes: 214 Time In: 09:26 AM Time Out: 01:00 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 me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Kelley returned to the facility during the visit. Kaitlyn Guyer, Vice President of Grant and Continuous Improvement accompanied today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of 8/26/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 7/25/24. The last shelter-in-place drill was practiced on 7/25/24. The last playground inspection was documented on 8/2/24. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, one-to-two-years of age with three (3) staff members were present. The children had bagel, cream cheese, cut peaches, cheerios and milk for breakfast. Supervision and interaction were adequate. One (1) emergency medication and various over-the-counter ointments were maintained in the classroom. Paperwork was current. In space #3, a group of two (2) infants with three (3) staff members were present. Both infants were held and rocked by the staff members. The use of babywearing was discussed during the visit. The device is used to transition from the classroom to the playground. The facility has babywearing policy in place. In space #4, eight (8) children, with four (4) staff members were present. Two (2) children were infants and other children were one (1) year of age. The children engaged in free play and explored the materials. No medications were maintained in the classroom. One (1) staff member cleaned the tables, one (1) staff members conducted diaper changes, and two (2) staff members supervised and interacted with the children. The children in space #5 played on the playground. The children engaged in gross motor activities with tunnels, balls, riding toys and other materials. Supervision and interaction were adequate. Upon transitioning back to the classroom, headcounts log was filled out. In space #6, there were six (6) children, two-to-three years of age, and two (2) staff members were present. The children played on the playground, running and riding on toy vehicles and tricycles. Supervision and interaction were adequate. In space #9, a group of ten (10) children, three-to-four years of age with three (3) staff members were present. The children just transitioned from outside to the classroom. The children washed their hands and sat at the table for lunch. Two (2) emergency medications were maintained. The paperwork was current. Medications including prescription and over-the-counter creams/ointments were monitored in each classroom. Four (4) new staff files were monitored. Space #2, #7, #8, #10, #11 were not in use during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance due to the program had not started at the time of the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #6, the medication authorization form for Nystatin ointment expired on 4/18/24. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #5, Aquaphor Healing ointment for a child expired in June 2024, Destin Maximum Strength for a child expired in June 2024 and Babyganics Mineral sunscreen expired in March 2024. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #6, Nystatin ointment was used sometime in the past but the record of administration of medication was not filled out. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of Chapstick size tempera paint was on top of the shelf at approximately thirty-six (36) inches high. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #1, Flovent 110mcg HFA was stored on the top shelf. On the bottom shelf, there were fruit cups, cheerios and apple sauce were stored on the same cabinet. 15 A NCAC 18 A.2820(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #6, an action plan for Ventolin HFA or a child was not available for review during the visit. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Leftover medication Leftover medication and expired medications shall be return to the parent or discarded within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 851: Medication log Anytime medication is administered, the below record shall be recorded and maintain it for minimum of six (6) months. This rule does not apply to over-the-counter topicals. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 858: choking hazards Small objects that can be potential choking hazards shall be stored out of reach of children under three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 870: Medication storage Medications shall not be stored above food. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. 1835: Action plan Action plan is required for all emergency conditions, such as severe allergies, asthma, seizures, diabetes, etc. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 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 9/10/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: Fire drill is due before the end of August. Aquaphor Healing ointment will expire in September 2024 in space #1(Holly). If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 37 Completed Date: 8/27/2024 Age: From 0 To 4 Total Minutes: 214 Time In: 09:26 AM Time Out: 01:00 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 me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Kelley returned to the facility during the visit. Kaitlyn Guyer, Vice President of Grant and Continuous Improvement accompanied today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of 8/26/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 7/25/24. The last shelter-in-place drill was practiced on 7/25/24. The last playground inspection was documented on 8/2/24. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, one-to-two-years of age with three (3) staff members were present. The children had bagel, cream cheese, cut peaches, cheerios and milk for breakfast. Supervision and interaction were adequate. One (1) emergency medication and various over-the-counter ointments were maintained in the classroom. Paperwork was current. In space #3, a group of two (2) infants with three (3) staff members were present. Both infants were held and rocked by the staff members. The use of babywearing was discussed during the visit. The device is used to transition from the classroom to the playground. The facility has babywearing policy in place. In space #4, eight (8) children, with four (4) staff members were present. Two (2) children were infants and other children were one (1) year of age. The children engaged in free play and explored the materials. No medications were maintained in the classroom. One (1) staff member cleaned the tables, one (1) staff members conducted diaper changes, and two (2) staff members supervised and interacted with the children. The children in space #5 played on the playground. The children engaged in gross motor activities with tunnels, balls, riding toys and other materials. Supervision and interaction were adequate. Upon transitioning back to the classroom, headcounts log was filled out. In space #6, there were six (6) children, two-to-three years of age, and two (2) staff members were present. The children played on the playground, running and riding on toy vehicles and tricycles. Supervision and interaction were adequate. In space #9, a group of ten (10) children, three-to-four years of age with three (3) staff members were present. The children just transitioned from outside to the classroom. The children washed their hands and sat at the table for lunch. Two (2) emergency medications were maintained. The paperwork was current. Medications including prescription and over-the-counter creams/ointments were monitored in each classroom. Four (4) new staff files were monitored. Space #2, #7, #8, #10, #11 were not in use during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance due to the program had not started at the time of the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #6, the medication authorization form for Nystatin ointment expired on 4/18/24. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #5, Aquaphor Healing ointment for a child expired in June 2024, Destin Maximum Strength for a child expired in June 2024 and Babyganics Mineral sunscreen expired in March 2024. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #6, Nystatin ointment was used sometime in the past but the record of administration of medication was not filled out. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of Chapstick size tempera paint was on top of the shelf at approximately thirty-six (36) inches high. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #1, Flovent 110mcg HFA was stored on the top shelf. On the bottom shelf, there were fruit cups, cheerios and apple sauce were stored on the same cabinet. 15 A NCAC 18 A.2820(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #6, an action plan for Ventolin HFA or a child was not available for review during the visit. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Leftover medication Leftover medication and expired medications shall be return to the parent or discarded within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 851: Medication log Anytime medication is administered, the below record shall be recorded and maintain it for minimum of six (6) months. This rule does not apply to over-the-counter topicals. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 858: choking hazards Small objects that can be potential choking hazards shall be stored out of reach of children under three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 870: Medication storage Medications shall not be stored above food. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. 1835: Action plan Action plan is required for all emergency conditions, such as severe allergies, asthma, seizures, diabetes, etc. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 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 9/10/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: Fire drill is due before the end of August. Aquaphor Healing ointment will expire in September 2024 in space #1(Holly). If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 37 Completed Date: 8/27/2024 Age: From 0 To 4 Total Minutes: 214 Time In: 09:26 AM Time Out: 01:00 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 me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Kelley returned to the facility during the visit. Kaitlyn Guyer, Vice President of Grant and Continuous Improvement accompanied today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of 8/26/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 7/25/24. The last shelter-in-place drill was practiced on 7/25/24. The last playground inspection was documented on 8/2/24. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, one-to-two-years of age with three (3) staff members were present. The children had bagel, cream cheese, cut peaches, cheerios and milk for breakfast. Supervision and interaction were adequate. One (1) emergency medication and various over-the-counter ointments were maintained in the classroom. Paperwork was current. In space #3, a group of two (2) infants with three (3) staff members were present. Both infants were held and rocked by the staff members. The use of babywearing was discussed during the visit. The device is used to transition from the classroom to the playground. The facility has babywearing policy in place. In space #4, eight (8) children, with four (4) staff members were present. Two (2) children were infants and other children were one (1) year of age. The children engaged in free play and explored the materials. No medications were maintained in the classroom. One (1) staff member cleaned the tables, one (1) staff members conducted diaper changes, and two (2) staff members supervised and interacted with the children. The children in space #5 played on the playground. The children engaged in gross motor activities with tunnels, balls, riding toys and other materials. Supervision and interaction were adequate. Upon transitioning back to the classroom, headcounts log was filled out. In space #6, there were six (6) children, two-to-three years of age, and two (2) staff members were present. The children played on the playground, running and riding on toy vehicles and tricycles. Supervision and interaction were adequate. In space #9, a group of ten (10) children, three-to-four years of age with three (3) staff members were present. The children just transitioned from outside to the classroom. The children washed their hands and sat at the table for lunch. Two (2) emergency medications were maintained. The paperwork was current. Medications including prescription and over-the-counter creams/ointments were monitored in each classroom. Four (4) new staff files were monitored. Space #2, #7, #8, #10, #11 were not in use during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance due to the program had not started at the time of the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #6, the medication authorization form for Nystatin ointment expired on 4/18/24. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #5, Aquaphor Healing ointment for a child expired in June 2024, Destin Maximum Strength for a child expired in June 2024 and Babyganics Mineral sunscreen expired in March 2024. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #6, Nystatin ointment was used sometime in the past but the record of administration of medication was not filled out. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of Chapstick size tempera paint was on top of the shelf at approximately thirty-six (36) inches high. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #1, Flovent 110mcg HFA was stored on the top shelf. On the bottom shelf, there were fruit cups, cheerios and apple sauce were stored on the same cabinet. 15 A NCAC 18 A.2820(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #6, an action plan for Ventolin HFA or a child was not available for review during the visit. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Leftover medication Leftover medication and expired medications shall be return to the parent or discarded within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 851: Medication log Anytime medication is administered, the below record shall be recorded and maintain it for minimum of six (6) months. This rule does not apply to over-the-counter topicals. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 858: choking hazards Small objects that can be potential choking hazards shall be stored out of reach of children under three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 870: Medication storage Medications shall not be stored above food. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. 1835: Action plan Action plan is required for all emergency conditions, such as severe allergies, asthma, seizures, diabetes, etc. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 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 9/10/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: Fire drill is due before the end of August. Aquaphor Healing ointment will expire in September 2024 in space #1(Holly). If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 37 Completed Date: 8/27/2024 Age: From 0 To 4 Total Minutes: 214 Time In: 09:26 AM Time Out: 01:00 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 me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Kelley returned to the facility during the visit. Kaitlyn Guyer, Vice President of Grant and Continuous Improvement accompanied today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of 8/26/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 7/25/24. The last shelter-in-place drill was practiced on 7/25/24. The last playground inspection was documented on 8/2/24. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, one-to-two-years of age with three (3) staff members were present. The children had bagel, cream cheese, cut peaches, cheerios and milk for breakfast. Supervision and interaction were adequate. One (1) emergency medication and various over-the-counter ointments were maintained in the classroom. Paperwork was current. In space #3, a group of two (2) infants with three (3) staff members were present. Both infants were held and rocked by the staff members. The use of babywearing was discussed during the visit. The device is used to transition from the classroom to the playground. The facility has babywearing policy in place. In space #4, eight (8) children, with four (4) staff members were present. Two (2) children were infants and other children were one (1) year of age. The children engaged in free play and explored the materials. No medications were maintained in the classroom. One (1) staff member cleaned the tables, one (1) staff members conducted diaper changes, and two (2) staff members supervised and interacted with the children. The children in space #5 played on the playground. The children engaged in gross motor activities with tunnels, balls, riding toys and other materials. Supervision and interaction were adequate. Upon transitioning back to the classroom, headcounts log was filled out. In space #6, there were six (6) children, two-to-three years of age, and two (2) staff members were present. The children played on the playground, running and riding on toy vehicles and tricycles. Supervision and interaction were adequate. In space #9, a group of ten (10) children, three-to-four years of age with three (3) staff members were present. The children just transitioned from outside to the classroom. The children washed their hands and sat at the table for lunch. Two (2) emergency medications were maintained. The paperwork was current. Medications including prescription and over-the-counter creams/ointments were monitored in each classroom. Four (4) new staff files were monitored. Space #2, #7, #8, #10, #11 were not in use during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance due to the program had not started at the time of the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #6, the medication authorization form for Nystatin ointment expired on 4/18/24. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #5, Aquaphor Healing ointment for a child expired in June 2024, Destin Maximum Strength for a child expired in June 2024 and Babyganics Mineral sunscreen expired in March 2024. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #6, Nystatin ointment was used sometime in the past but the record of administration of medication was not filled out. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of Chapstick size tempera paint was on top of the shelf at approximately thirty-six (36) inches high. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #1, Flovent 110mcg HFA was stored on the top shelf. On the bottom shelf, there were fruit cups, cheerios and apple sauce were stored on the same cabinet. 15 A NCAC 18 A.2820(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #6, an action plan for Ventolin HFA or a child was not available for review during the visit. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Leftover medication Leftover medication and expired medications shall be return to the parent or discarded within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 851: Medication log Anytime medication is administered, the below record shall be recorded and maintain it for minimum of six (6) months. This rule does not apply to over-the-counter topicals. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 858: choking hazards Small objects that can be potential choking hazards shall be stored out of reach of children under three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 870: Medication storage Medications shall not be stored above food. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. 1835: Action plan Action plan is required for all emergency conditions, such as severe allergies, asthma, seizures, diabetes, etc. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 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 9/10/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: Fire drill is due before the end of August. Aquaphor Healing ointment will expire in September 2024 in space #1(Holly). If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 37 Completed Date: 8/27/2024 Age: From 0 To 4 Total Minutes: 214 Time In: 09:26 AM Time Out: 01:00 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 me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Kelley returned to the facility during the visit. Kaitlyn Guyer, Vice President of Grant and Continuous Improvement accompanied today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of 8/26/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 7/25/24. The last shelter-in-place drill was practiced on 7/25/24. The last playground inspection was documented on 8/2/24. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, one-to-two-years of age with three (3) staff members were present. The children had bagel, cream cheese, cut peaches, cheerios and milk for breakfast. Supervision and interaction were adequate. One (1) emergency medication and various over-the-counter ointments were maintained in the classroom. Paperwork was current. In space #3, a group of two (2) infants with three (3) staff members were present. Both infants were held and rocked by the staff members. The use of babywearing was discussed during the visit. The device is used to transition from the classroom to the playground. The facility has babywearing policy in place. In space #4, eight (8) children, with four (4) staff members were present. Two (2) children were infants and other children were one (1) year of age. The children engaged in free play and explored the materials. No medications were maintained in the classroom. One (1) staff member cleaned the tables, one (1) staff members conducted diaper changes, and two (2) staff members supervised and interacted with the children. The children in space #5 played on the playground. The children engaged in gross motor activities with tunnels, balls, riding toys and other materials. Supervision and interaction were adequate. Upon transitioning back to the classroom, headcounts log was filled out. In space #6, there were six (6) children, two-to-three years of age, and two (2) staff members were present. The children played on the playground, running and riding on toy vehicles and tricycles. Supervision and interaction were adequate. In space #9, a group of ten (10) children, three-to-four years of age with three (3) staff members were present. The children just transitioned from outside to the classroom. The children washed their hands and sat at the table for lunch. Two (2) emergency medications were maintained. The paperwork was current. Medications including prescription and over-the-counter creams/ointments were monitored in each classroom. Four (4) new staff files were monitored. Space #2, #7, #8, #10, #11 were not in use during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance due to the program had not started at the time of the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #6, the medication authorization form for Nystatin ointment expired on 4/18/24. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #5, Aquaphor Healing ointment for a child expired in June 2024, Destin Maximum Strength for a child expired in June 2024 and Babyganics Mineral sunscreen expired in March 2024. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #6, Nystatin ointment was used sometime in the past but the record of administration of medication was not filled out. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of Chapstick size tempera paint was on top of the shelf at approximately thirty-six (36) inches high. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #1, Flovent 110mcg HFA was stored on the top shelf. On the bottom shelf, there were fruit cups, cheerios and apple sauce were stored on the same cabinet. 15 A NCAC 18 A.2820(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #6, an action plan for Ventolin HFA or a child was not available for review during the visit. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Leftover medication Leftover medication and expired medications shall be return to the parent or discarded within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 851: Medication log Anytime medication is administered, the below record shall be recorded and maintain it for minimum of six (6) months. This rule does not apply to over-the-counter topicals. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 858: choking hazards Small objects that can be potential choking hazards shall be stored out of reach of children under three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 870: Medication storage Medications shall not be stored above food. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. 1835: Action plan Action plan is required for all emergency conditions, such as severe allergies, asthma, seizures, diabetes, etc. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 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 9/10/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: Fire drill is due before the end of August. Aquaphor Healing ointment will expire in September 2024 in space #1(Holly). If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 37 Completed Date: 8/27/2024 Age: From 0 To 4 Total Minutes: 214 Time In: 09:26 AM Time Out: 01:00 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 me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Kelley returned to the facility during the visit. Kaitlyn Guyer, Vice President of Grant and Continuous Improvement accompanied today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of 8/26/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 7/25/24. The last shelter-in-place drill was practiced on 7/25/24. The last playground inspection was documented on 8/2/24. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, one-to-two-years of age with three (3) staff members were present. The children had bagel, cream cheese, cut peaches, cheerios and milk for breakfast. Supervision and interaction were adequate. One (1) emergency medication and various over-the-counter ointments were maintained in the classroom. Paperwork was current. In space #3, a group of two (2) infants with three (3) staff members were present. Both infants were held and rocked by the staff members. The use of babywearing was discussed during the visit. The device is used to transition from the classroom to the playground. The facility has babywearing policy in place. In space #4, eight (8) children, with four (4) staff members were present. Two (2) children were infants and other children were one (1) year of age. The children engaged in free play and explored the materials. No medications were maintained in the classroom. One (1) staff member cleaned the tables, one (1) staff members conducted diaper changes, and two (2) staff members supervised and interacted with the children. The children in space #5 played on the playground. The children engaged in gross motor activities with tunnels, balls, riding toys and other materials. Supervision and interaction were adequate. Upon transitioning back to the classroom, headcounts log was filled out. In space #6, there were six (6) children, two-to-three years of age, and two (2) staff members were present. The children played on the playground, running and riding on toy vehicles and tricycles. Supervision and interaction were adequate. In space #9, a group of ten (10) children, three-to-four years of age with three (3) staff members were present. The children just transitioned from outside to the classroom. The children washed their hands and sat at the table for lunch. Two (2) emergency medications were maintained. The paperwork was current. Medications including prescription and over-the-counter creams/ointments were monitored in each classroom. Four (4) new staff files were monitored. Space #2, #7, #8, #10, #11 were not in use during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance due to the program had not started at the time of the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #6, the medication authorization form for Nystatin ointment expired on 4/18/24. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #5, Aquaphor Healing ointment for a child expired in June 2024, Destin Maximum Strength for a child expired in June 2024 and Babyganics Mineral sunscreen expired in March 2024. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #6, Nystatin ointment was used sometime in the past but the record of administration of medication was not filled out. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of Chapstick size tempera paint was on top of the shelf at approximately thirty-six (36) inches high. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #1, Flovent 110mcg HFA was stored on the top shelf. On the bottom shelf, there were fruit cups, cheerios and apple sauce were stored on the same cabinet. 15 A NCAC 18 A.2820(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #6, an action plan for Ventolin HFA or a child was not available for review during the visit. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Leftover medication Leftover medication and expired medications shall be return to the parent or discarded within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 851: Medication log Anytime medication is administered, the below record shall be recorded and maintain it for minimum of six (6) months. This rule does not apply to over-the-counter topicals. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 858: choking hazards Small objects that can be potential choking hazards shall be stored out of reach of children under three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 870: Medication storage Medications shall not be stored above food. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. 1835: Action plan Action plan is required for all emergency conditions, such as severe allergies, asthma, seizures, diabetes, etc. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 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 9/10/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: Fire drill is due before the end of August. Aquaphor Healing ointment will expire in September 2024 in space #1(Holly). If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 37 Completed Date: 8/27/2024 Age: From 0 To 4 Total Minutes: 214 Time In: 09:26 AM Time Out: 01:00 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 me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Kelley returned to the facility during the visit. Kaitlyn Guyer, Vice President of Grant and Continuous Improvement accompanied today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of 8/26/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 7/25/24. The last shelter-in-place drill was practiced on 7/25/24. The last playground inspection was documented on 8/2/24. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, one-to-two-years of age with three (3) staff members were present. The children had bagel, cream cheese, cut peaches, cheerios and milk for breakfast. Supervision and interaction were adequate. One (1) emergency medication and various over-the-counter ointments were maintained in the classroom. Paperwork was current. In space #3, a group of two (2) infants with three (3) staff members were present. Both infants were held and rocked by the staff members. The use of babywearing was discussed during the visit. The device is used to transition from the classroom to the playground. The facility has babywearing policy in place. In space #4, eight (8) children, with four (4) staff members were present. Two (2) children were infants and other children were one (1) year of age. The children engaged in free play and explored the materials. No medications were maintained in the classroom. One (1) staff member cleaned the tables, one (1) staff members conducted diaper changes, and two (2) staff members supervised and interacted with the children. The children in space #5 played on the playground. The children engaged in gross motor activities with tunnels, balls, riding toys and other materials. Supervision and interaction were adequate. Upon transitioning back to the classroom, headcounts log was filled out. In space #6, there were six (6) children, two-to-three years of age, and two (2) staff members were present. The children played on the playground, running and riding on toy vehicles and tricycles. Supervision and interaction were adequate. In space #9, a group of ten (10) children, three-to-four years of age with three (3) staff members were present. The children just transitioned from outside to the classroom. The children washed their hands and sat at the table for lunch. Two (2) emergency medications were maintained. The paperwork was current. Medications including prescription and over-the-counter creams/ointments were monitored in each classroom. Four (4) new staff files were monitored. Space #2, #7, #8, #10, #11 were not in use during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance due to the program had not started at the time of the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #6, the medication authorization form for Nystatin ointment expired on 4/18/24. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #5, Aquaphor Healing ointment for a child expired in June 2024, Destin Maximum Strength for a child expired in June 2024 and Babyganics Mineral sunscreen expired in March 2024. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #6, Nystatin ointment was used sometime in the past but the record of administration of medication was not filled out. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of Chapstick size tempera paint was on top of the shelf at approximately thirty-six (36) inches high. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #1, Flovent 110mcg HFA was stored on the top shelf. On the bottom shelf, there were fruit cups, cheerios and apple sauce were stored on the same cabinet. 15 A NCAC 18 A.2820(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #6, an action plan for Ventolin HFA or a child was not available for review during the visit. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Leftover medication Leftover medication and expired medications shall be return to the parent or discarded within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 851: Medication log Anytime medication is administered, the below record shall be recorded and maintain it for minimum of six (6) months. This rule does not apply to over-the-counter topicals. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 858: choking hazards Small objects that can be potential choking hazards shall be stored out of reach of children under three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 870: Medication storage Medications shall not be stored above food. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. 1835: Action plan Action plan is required for all emergency conditions, such as severe allergies, asthma, seizures, diabetes, etc. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 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 9/10/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: Fire drill is due before the end of August. Aquaphor Healing ointment will expire in September 2024 in space #1(Holly). If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 37 Completed Date: 8/27/2024 Age: From 0 To 4 Total Minutes: 214 Time In: 09:26 AM Time Out: 01:00 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 me, Kaoru Eddins, Child Care Consultant and also signed by Steph Kelley, Administrator during the visit. A signed copy of the visit summary was electronically emailed to you. Ms. Kelley returned to the facility during the visit. Kaitlyn Guyer, Vice President of Grant and Continuous Improvement accompanied today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of 8/26/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/13/24. The last fire drill was practiced on 7/25/24. The last shelter-in-place drill was practiced on 7/25/24. The last playground inspection was documented on 8/2/24. The last fire inspection was approved on 5/21/24. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of four (4) children, one-to-two-years of age with three (3) staff members were present. The children had bagel, cream cheese, cut peaches, cheerios and milk for breakfast. Supervision and interaction were adequate. One (1) emergency medication and various over-the-counter ointments were maintained in the classroom. Paperwork was current. In space #3, a group of two (2) infants with three (3) staff members were present. Both infants were held and rocked by the staff members. The use of babywearing was discussed during the visit. The device is used to transition from the classroom to the playground. The facility has babywearing policy in place. In space #4, eight (8) children, with four (4) staff members were present. Two (2) children were infants and other children were one (1) year of age. The children engaged in free play and explored the materials. No medications were maintained in the classroom. One (1) staff member cleaned the tables, one (1) staff members conducted diaper changes, and two (2) staff members supervised and interacted with the children. The children in space #5 played on the playground. The children engaged in gross motor activities with tunnels, balls, riding toys and other materials. Supervision and interaction were adequate. Upon transitioning back to the classroom, headcounts log was filled out. In space #6, there were six (6) children, two-to-three years of age, and two (2) staff members were present. The children played on the playground, running and riding on toy vehicles and tricycles. Supervision and interaction were adequate. In space #9, a group of ten (10) children, three-to-four years of age with three (3) staff members were present. The children just transitioned from outside to the classroom. The children washed their hands and sat at the table for lunch. Two (2) emergency medications were maintained. The paperwork was current. Medications including prescription and over-the-counter creams/ointments were monitored in each classroom. Four (4) new staff files were monitored. Space #2, #7, #8, #10, #11 were not in use during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were not monitored for compliance due to the program had not started at the time of the visit. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. In space #6, the medication authorization form for Nystatin ointment expired on 4/18/24. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #5, Aquaphor Healing ointment for a child expired in June 2024, Destin Maximum Strength for a child expired in June 2024 and Babyganics Mineral sunscreen expired in March 2024. .0803(12) 851 When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. In space #6, Nystatin ointment was used sometime in the past but the record of administration of medication was not filled out. .0803(13)(a-e); .2318(3) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. A container of Chapstick size tempera paint was on top of the shelf at approximately thirty-six (36) inches high. .0604(q) 870 Medications including prescription and non-prescription items were stored above food. In space #1, Flovent 110mcg HFA was stored on the top shelf. On the bottom shelf, there were fruit cups, cheerios and apple sauce were stored on the same cabinet. 15 A NCAC 18 A.2820(d) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space #6, an action plan for Ventolin HFA or a child was not available for review during the visit. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Leftover medication Leftover medication and expired medications shall be return to the parent or discarded within seventy-two (72) hours of their expiration dates. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 851: Medication log Anytime medication is administered, the below record shall be recorded and maintain it for minimum of six (6) months. This rule does not apply to over-the-counter topicals. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (13) Any time prescription or over-the-counter medication is administered by center personnel to children receiving care, the following information shall be recorded: (a) the child's name; (b) the date the medication was given; (c) the time the medication was given; (d) the amount and the type of medication given; and (e) the name and signature of the person administering the medication. This information shall be noted on a medication permission slip, or on a separate form developed by the provider which includes the required information. This information shall be available for review by a representative of the Division during the time period the medication is being administered and for six months after the medication is administered. No documentation shall be required when items listed in Item (7) of this Rule are applied to children. 858: choking hazards Small objects that can be potential choking hazards shall be stored out of reach of children under three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 870: Medication storage Medications shall not be stored above food. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use but are not required to be in locked storage. 1835: Action plan Action plan is required for all emergency conditions, such as severe allergies, asthma, seizures, diabetes, etc. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 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 9/10/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminders: Fire drill is due before the end of August. Aquaphor Healing ointment will expire in September 2024 in space #1(Holly). If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0624-132L Visit Date: 6/18/2024 Number Present: 37 Completed Date: 6/18/2024 Age: From 0 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: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate compliance during a complaint visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Peterson accompanied me. Limited monitoring of Child Care Rules was conducted including but not limited to supervision requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a Five-star Center License issued on 10/25/22. The restriction includes daytime care, meets enhanced ratios and space. There are concerns that a child was not adequately supervised while in care. Ms. Peterson stated that a child was left in the classroom for no more than a minute upon the group of children transitioned from the classroom to outside on 6/12/24 around 10:30 am. Since the incident, Ms. Peterson notified the family. Both teachers present during the incident received a write-up. Per the interview with the teachers, one (1) of the classroom teachers stated that he/she counted six children out loud instead of seven (7) children present that day before transitioning to outside. The other teacher stated that some children went back to the classroom and other children went to the hallway when the classroom door opened resulting in the mistake. In space #1, a group of children had breakfast. After serving food, both teachers sat with the children and supervised them. In space #2, a group of children engaged in free play. There is a wooden slide structure in the classroom. One (1) child stood on the top of the slide and contemplated walking down the slide. One (1) of the teachers noticed the child and aided his/her hands so the child could walk down the slide. The teacher suggested the child sit down, but the child did not listen. The critical height of the slide is approximately seventeen (17) inches, and the structure is on a rug. In space #3, a group of infants explored the environment. One (1) teacher changed the children’s diapers, and the other teacher interacted with the children on the floor. During the observation, the group transitioned from the classroom to outside. The additional teacher brought a stroller to the hallway outside of the classroom. The children rode the stroller to the playground. Supervision during the transition was adequate. The name-to-face sheet was filled out accurately. I observed the transition process for children enrolled in space #4. The children transitioned from the two-year-old playground to the classroom. The children went through two (2) gates, one (1) double door, and the classroom door. One (1) teacher was at the front of the line, and the other teacher was at the end of the line. (1) teacher took head counts when the group went through both gates and the double door. Both teachers took head counts as the children entered the classroom. The name-to-face count was not filled out for 9:30 am. In space #5, the children engaged in free play using housekeeping materials, blocks, and soft materials. Supervision was adequate, and the name-to-face form was filled out accurately. Ins space #6, four (4) children had breakfast. One (1) teacher sat with the children to supervise. At 9:15 am, the name-to-face- for 9:00 am was not logged. In space #7, the children engaged in free play with sensory table, housekeeping materials and blocks. The name-to-face form was not filled out for 9:30 am and 10:00 am. Supervision was adequate. In space #9, four (4) pre-K children engaged in games and building activities. The name-to-face form was filled out accurately and the supervision was adequate. Some corrections were made on the floor diagram. Space #7 was marked as a non-licensed room, but it was corrected as space #8. Space #8 was marked as a multi-purpose room, but the large space at the end of the hall was re-marked as a multi-purpose room, and it is now space #11. Ms. Peterson plans to modify space #11 (multi-purpose room) to create a sensory room. We discussed that any non-licensed space to be licensed or when a permanent change, such as hall walls or new plumbing, is made, building inspection, sanitation inspection, and fire inspection shall be completed prior to the space being licensed. The name-to-face record for June was reviewed. The children’s arrival time, departure time and check marks for ever thirty (30) minute increments were all filled out for all classrooms. Due to the fact that there were three (3) classrooms where the name-to-face count was not filled out accurately during today’s visit alone, some forms may be filled out at the end of the day, instead of in real time. The name-to-face count form is a helpful tool to prevent supervision mistakes. However, if the name-to-face count form is not always filled out accurately by the teachers, it can result in additional supervision issues. The teachers shall understand the purpose of the form and follow the procedures diligently in order to ensure the safety of the children. 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/ Due to the statements from the staff members, the allegation of violation of supervision rules was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Teachers in space #6 with two-to-three-year-old children stated that one (1) child was left unattended in the classroom for approximately one (1) minute on 6/12/24 during transition from the classroom to outside. Prior to transition, a teacher miscounted the total number of the children resulting in the mistake. Before the group existed the double door to outside, the teachers realize the mistake, returned to the classroom and found the child. .1801(a)(1-5) 404 All staff did not wash their hands thoroughly after diapering each child. A teacher in space #3 with infants and one-year-old children changed a child's diaper and did not wash his/her hands before changing another child's diaper. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. In space #3 with infants and one-year-old children, a child's diaper was changed, but the child's hands were not washed before returning to the play area. 15A NCAC 18A .2803(c)(2) 815 Electrical cords were accessible to infants and toddlers. In space #2 with one-to-two-year-old children, a cord for lamp and a cord for light-up table were accessible to one-year-old children. 10A NCAC 09 .0604(f) Technical assistance was provided as follows: 303: supervision Children shall be supervised at all times. Supervision mistakes occur during transition the most. Accurate head counts of children prior to leaving the classroom is a fire step to prevent the mistake. All teachers should be counting the children separately and communicating with one another. Ms. Peterson is planning to conduct a staff meeting on 6/20/24 to review the proper use of name-to-face forms and supervision during transition. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 404: Handwashing of staff member Staff members shall wash hands each time he/she changes a child’s diaper. This is effective in preventing spread of germs. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. 405: Handwashing of children The children’s hands shall be washed with soap and water after diaper changing procedures. The diaper changing procedure poster is a great resource for teachers to review periodically. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. Corrective Action Plan: Due to the nature of the violation, a follow-up visit will be conducted to verify the compliance. You are not required to submit a letter of compliance unless you choose to. 815: Electrical Cords Electrical cords shall not be accessible to infants and toddlers due to strangulation hazard. Pulling cords may result in objects falling on the children as well. The cords shall be hidden behind furniture or covered so that the children cannot pull them. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (f) Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the type of violation cited during today’s visit, you may be considered for Administrative Action. Slide in the classroom (Hawthorn): Young children walking down on the slide may result in falling backwards or falling off the slide. It is strongly recommended to closely supervise the use of the slide, strongly encourage children to sit and slide, or remove the slide out of the classroom if the supervision cannot be achieved. Monitoring of the classroom: Tools, such as ChildPlus apps and Name-to-Face check sheets are in place to prevent supervision mistakes. However, not all teachers follow the procedures resulting in mistakes. I recommend periodic monitoring of staff practices by the administrating staff. Due to the numbers of classroom Ms. Peterson have to monitor, additional tool, such as video cameras in the classroom, are recommended. Teachers and administrators should work together to ensure that safety policies and procedures are properly followed. We discussed the use of space #10. Ms. Peterson plans to open additional Pre-K classroom in space #10 in the future. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0624-132L Visit Date: 6/18/2024 Number Present: 37 Completed Date: 6/18/2024 Age: From 0 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: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate compliance during a complaint visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Peterson accompanied me. Limited monitoring of Child Care Rules was conducted including but not limited to supervision requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a Five-star Center License issued on 10/25/22. The restriction includes daytime care, meets enhanced ratios and space. There are concerns that a child was not adequately supervised while in care. Ms. Peterson stated that a child was left in the classroom for no more than a minute upon the group of children transitioned from the classroom to outside on 6/12/24 around 10:30 am. Since the incident, Ms. Peterson notified the family. Both teachers present during the incident received a write-up. Per the interview with the teachers, one (1) of the classroom teachers stated that he/she counted six children out loud instead of seven (7) children present that day before transitioning to outside. The other teacher stated that some children went back to the classroom and other children went to the hallway when the classroom door opened resulting in the mistake. In space #1, a group of children had breakfast. After serving food, both teachers sat with the children and supervised them. In space #2, a group of children engaged in free play. There is a wooden slide structure in the classroom. One (1) child stood on the top of the slide and contemplated walking down the slide. One (1) of the teachers noticed the child and aided his/her hands so the child could walk down the slide. The teacher suggested the child sit down, but the child did not listen. The critical height of the slide is approximately seventeen (17) inches, and the structure is on a rug. In space #3, a group of infants explored the environment. One (1) teacher changed the children’s diapers, and the other teacher interacted with the children on the floor. During the observation, the group transitioned from the classroom to outside. The additional teacher brought a stroller to the hallway outside of the classroom. The children rode the stroller to the playground. Supervision during the transition was adequate. The name-to-face sheet was filled out accurately. I observed the transition process for children enrolled in space #4. The children transitioned from the two-year-old playground to the classroom. The children went through two (2) gates, one (1) double door, and the classroom door. One (1) teacher was at the front of the line, and the other teacher was at the end of the line. (1) teacher took head counts when the group went through both gates and the double door. Both teachers took head counts as the children entered the classroom. The name-to-face count was not filled out for 9:30 am. In space #5, the children engaged in free play using housekeeping materials, blocks, and soft materials. Supervision was adequate, and the name-to-face form was filled out accurately. Ins space #6, four (4) children had breakfast. One (1) teacher sat with the children to supervise. At 9:15 am, the name-to-face- for 9:00 am was not logged. In space #7, the children engaged in free play with sensory table, housekeeping materials and blocks. The name-to-face form was not filled out for 9:30 am and 10:00 am. Supervision was adequate. In space #9, four (4) pre-K children engaged in games and building activities. The name-to-face form was filled out accurately and the supervision was adequate. Some corrections were made on the floor diagram. Space #7 was marked as a non-licensed room, but it was corrected as space #8. Space #8 was marked as a multi-purpose room, but the large space at the end of the hall was re-marked as a multi-purpose room, and it is now space #11. Ms. Peterson plans to modify space #11 (multi-purpose room) to create a sensory room. We discussed that any non-licensed space to be licensed or when a permanent change, such as hall walls or new plumbing, is made, building inspection, sanitation inspection, and fire inspection shall be completed prior to the space being licensed. The name-to-face record for June was reviewed. The children’s arrival time, departure time and check marks for ever thirty (30) minute increments were all filled out for all classrooms. Due to the fact that there were three (3) classrooms where the name-to-face count was not filled out accurately during today’s visit alone, some forms may be filled out at the end of the day, instead of in real time. The name-to-face count form is a helpful tool to prevent supervision mistakes. However, if the name-to-face count form is not always filled out accurately by the teachers, it can result in additional supervision issues. The teachers shall understand the purpose of the form and follow the procedures diligently in order to ensure the safety of the children. 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/ Due to the statements from the staff members, the allegation of violation of supervision rules was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Teachers in space #6 with two-to-three-year-old children stated that one (1) child was left unattended in the classroom for approximately one (1) minute on 6/12/24 during transition from the classroom to outside. Prior to transition, a teacher miscounted the total number of the children resulting in the mistake. Before the group existed the double door to outside, the teachers realize the mistake, returned to the classroom and found the child. .1801(a)(1-5) 404 All staff did not wash their hands thoroughly after diapering each child. A teacher in space #3 with infants and one-year-old children changed a child's diaper and did not wash his/her hands before changing another child's diaper. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. In space #3 with infants and one-year-old children, a child's diaper was changed, but the child's hands were not washed before returning to the play area. 15A NCAC 18A .2803(c)(2) 815 Electrical cords were accessible to infants and toddlers. In space #2 with one-to-two-year-old children, a cord for lamp and a cord for light-up table were accessible to one-year-old children. 10A NCAC 09 .0604(f) Technical assistance was provided as follows: 303: supervision Children shall be supervised at all times. Supervision mistakes occur during transition the most. Accurate head counts of children prior to leaving the classroom is a fire step to prevent the mistake. All teachers should be counting the children separately and communicating with one another. Ms. Peterson is planning to conduct a staff meeting on 6/20/24 to review the proper use of name-to-face forms and supervision during transition. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 404: Handwashing of staff member Staff members shall wash hands each time he/she changes a child’s diaper. This is effective in preventing spread of germs. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. 405: Handwashing of children The children’s hands shall be washed with soap and water after diaper changing procedures. The diaper changing procedure poster is a great resource for teachers to review periodically. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. Corrective Action Plan: Due to the nature of the violation, a follow-up visit will be conducted to verify the compliance. You are not required to submit a letter of compliance unless you choose to. 815: Electrical Cords Electrical cords shall not be accessible to infants and toddlers due to strangulation hazard. Pulling cords may result in objects falling on the children as well. The cords shall be hidden behind furniture or covered so that the children cannot pull them. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (f) Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the type of violation cited during today’s visit, you may be considered for Administrative Action. Slide in the classroom (Hawthorn): Young children walking down on the slide may result in falling backwards or falling off the slide. It is strongly recommended to closely supervise the use of the slide, strongly encourage children to sit and slide, or remove the slide out of the classroom if the supervision cannot be achieved. Monitoring of the classroom: Tools, such as ChildPlus apps and Name-to-Face check sheets are in place to prevent supervision mistakes. However, not all teachers follow the procedures resulting in mistakes. I recommend periodic monitoring of staff practices by the administrating staff. Due to the numbers of classroom Ms. Peterson have to monitor, additional tool, such as video cameras in the classroom, are recommended. Teachers and administrators should work together to ensure that safety policies and procedures are properly followed. We discussed the use of space #10. Ms. Peterson plans to open additional Pre-K classroom in space #10 in the future. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1801 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0624-132L Visit Date: 6/18/2024 Number Present: 37 Completed Date: 6/18/2024 Age: From 0 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: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate compliance during a complaint visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Peterson accompanied me. Limited monitoring of Child Care Rules was conducted including but not limited to supervision requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a Five-star Center License issued on 10/25/22. The restriction includes daytime care, meets enhanced ratios and space. There are concerns that a child was not adequately supervised while in care. Ms. Peterson stated that a child was left in the classroom for no more than a minute upon the group of children transitioned from the classroom to outside on 6/12/24 around 10:30 am. Since the incident, Ms. Peterson notified the family. Both teachers present during the incident received a write-up. Per the interview with the teachers, one (1) of the classroom teachers stated that he/she counted six children out loud instead of seven (7) children present that day before transitioning to outside. The other teacher stated that some children went back to the classroom and other children went to the hallway when the classroom door opened resulting in the mistake. In space #1, a group of children had breakfast. After serving food, both teachers sat with the children and supervised them. In space #2, a group of children engaged in free play. There is a wooden slide structure in the classroom. One (1) child stood on the top of the slide and contemplated walking down the slide. One (1) of the teachers noticed the child and aided his/her hands so the child could walk down the slide. The teacher suggested the child sit down, but the child did not listen. The critical height of the slide is approximately seventeen (17) inches, and the structure is on a rug. In space #3, a group of infants explored the environment. One (1) teacher changed the children’s diapers, and the other teacher interacted with the children on the floor. During the observation, the group transitioned from the classroom to outside. The additional teacher brought a stroller to the hallway outside of the classroom. The children rode the stroller to the playground. Supervision during the transition was adequate. The name-to-face sheet was filled out accurately. I observed the transition process for children enrolled in space #4. The children transitioned from the two-year-old playground to the classroom. The children went through two (2) gates, one (1) double door, and the classroom door. One (1) teacher was at the front of the line, and the other teacher was at the end of the line. (1) teacher took head counts when the group went through both gates and the double door. Both teachers took head counts as the children entered the classroom. The name-to-face count was not filled out for 9:30 am. In space #5, the children engaged in free play using housekeeping materials, blocks, and soft materials. Supervision was adequate, and the name-to-face form was filled out accurately. Ins space #6, four (4) children had breakfast. One (1) teacher sat with the children to supervise. At 9:15 am, the name-to-face- for 9:00 am was not logged. In space #7, the children engaged in free play with sensory table, housekeeping materials and blocks. The name-to-face form was not filled out for 9:30 am and 10:00 am. Supervision was adequate. In space #9, four (4) pre-K children engaged in games and building activities. The name-to-face form was filled out accurately and the supervision was adequate. Some corrections were made on the floor diagram. Space #7 was marked as a non-licensed room, but it was corrected as space #8. Space #8 was marked as a multi-purpose room, but the large space at the end of the hall was re-marked as a multi-purpose room, and it is now space #11. Ms. Peterson plans to modify space #11 (multi-purpose room) to create a sensory room. We discussed that any non-licensed space to be licensed or when a permanent change, such as hall walls or new plumbing, is made, building inspection, sanitation inspection, and fire inspection shall be completed prior to the space being licensed. The name-to-face record for June was reviewed. The children’s arrival time, departure time and check marks for ever thirty (30) minute increments were all filled out for all classrooms. Due to the fact that there were three (3) classrooms where the name-to-face count was not filled out accurately during today’s visit alone, some forms may be filled out at the end of the day, instead of in real time. The name-to-face count form is a helpful tool to prevent supervision mistakes. However, if the name-to-face count form is not always filled out accurately by the teachers, it can result in additional supervision issues. The teachers shall understand the purpose of the form and follow the procedures diligently in order to ensure the safety of the children. 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/ Due to the statements from the staff members, the allegation of violation of supervision rules was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Teachers in space #6 with two-to-three-year-old children stated that one (1) child was left unattended in the classroom for approximately one (1) minute on 6/12/24 during transition from the classroom to outside. Prior to transition, a teacher miscounted the total number of the children resulting in the mistake. Before the group existed the double door to outside, the teachers realize the mistake, returned to the classroom and found the child. .1801(a)(1-5) 404 All staff did not wash their hands thoroughly after diapering each child. A teacher in space #3 with infants and one-year-old children changed a child's diaper and did not wash his/her hands before changing another child's diaper. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. In space #3 with infants and one-year-old children, a child's diaper was changed, but the child's hands were not washed before returning to the play area. 15A NCAC 18A .2803(c)(2) 815 Electrical cords were accessible to infants and toddlers. In space #2 with one-to-two-year-old children, a cord for lamp and a cord for light-up table were accessible to one-year-old children. 10A NCAC 09 .0604(f) Technical assistance was provided as follows: 303: supervision Children shall be supervised at all times. Supervision mistakes occur during transition the most. Accurate head counts of children prior to leaving the classroom is a fire step to prevent the mistake. All teachers should be counting the children separately and communicating with one another. Ms. Peterson is planning to conduct a staff meeting on 6/20/24 to review the proper use of name-to-face forms and supervision during transition. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 404: Handwashing of staff member Staff members shall wash hands each time he/she changes a child’s diaper. This is effective in preventing spread of germs. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. 405: Handwashing of children The children’s hands shall be washed with soap and water after diaper changing procedures. The diaper changing procedure poster is a great resource for teachers to review periodically. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. Corrective Action Plan: Due to the nature of the violation, a follow-up visit will be conducted to verify the compliance. You are not required to submit a letter of compliance unless you choose to. 815: Electrical Cords Electrical cords shall not be accessible to infants and toddlers due to strangulation hazard. Pulling cords may result in objects falling on the children as well. The cords shall be hidden behind furniture or covered so that the children cannot pull them. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (f) Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the type of violation cited during today’s visit, you may be considered for Administrative Action. Slide in the classroom (Hawthorn): Young children walking down on the slide may result in falling backwards or falling off the slide. It is strongly recommended to closely supervise the use of the slide, strongly encourage children to sit and slide, or remove the slide out of the classroom if the supervision cannot be achieved. Monitoring of the classroom: Tools, such as ChildPlus apps and Name-to-Face check sheets are in place to prevent supervision mistakes. However, not all teachers follow the procedures resulting in mistakes. I recommend periodic monitoring of staff practices by the administrating staff. Due to the numbers of classroom Ms. Peterson have to monitor, additional tool, such as video cameras in the classroom, are recommended. Teachers and administrators should work together to ensure that safety policies and procedures are properly followed. We discussed the use of space #10. Ms. Peterson plans to open additional Pre-K classroom in space #10 in the future. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0624-132L Visit Date: 6/18/2024 Number Present: 37 Completed Date: 6/18/2024 Age: From 0 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: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit was to investigate compliance during a complaint visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Peterson accompanied me. Limited monitoring of Child Care Rules was conducted including but not limited to supervision requirements. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. The facility operates with a Five-star Center License issued on 10/25/22. The restriction includes daytime care, meets enhanced ratios and space. There are concerns that a child was not adequately supervised while in care. Ms. Peterson stated that a child was left in the classroom for no more than a minute upon the group of children transitioned from the classroom to outside on 6/12/24 around 10:30 am. Since the incident, Ms. Peterson notified the family. Both teachers present during the incident received a write-up. Per the interview with the teachers, one (1) of the classroom teachers stated that he/she counted six children out loud instead of seven (7) children present that day before transitioning to outside. The other teacher stated that some children went back to the classroom and other children went to the hallway when the classroom door opened resulting in the mistake. In space #1, a group of children had breakfast. After serving food, both teachers sat with the children and supervised them. In space #2, a group of children engaged in free play. There is a wooden slide structure in the classroom. One (1) child stood on the top of the slide and contemplated walking down the slide. One (1) of the teachers noticed the child and aided his/her hands so the child could walk down the slide. The teacher suggested the child sit down, but the child did not listen. The critical height of the slide is approximately seventeen (17) inches, and the structure is on a rug. In space #3, a group of infants explored the environment. One (1) teacher changed the children’s diapers, and the other teacher interacted with the children on the floor. During the observation, the group transitioned from the classroom to outside. The additional teacher brought a stroller to the hallway outside of the classroom. The children rode the stroller to the playground. Supervision during the transition was adequate. The name-to-face sheet was filled out accurately. I observed the transition process for children enrolled in space #4. The children transitioned from the two-year-old playground to the classroom. The children went through two (2) gates, one (1) double door, and the classroom door. One (1) teacher was at the front of the line, and the other teacher was at the end of the line. (1) teacher took head counts when the group went through both gates and the double door. Both teachers took head counts as the children entered the classroom. The name-to-face count was not filled out for 9:30 am. In space #5, the children engaged in free play using housekeeping materials, blocks, and soft materials. Supervision was adequate, and the name-to-face form was filled out accurately. Ins space #6, four (4) children had breakfast. One (1) teacher sat with the children to supervise. At 9:15 am, the name-to-face- for 9:00 am was not logged. In space #7, the children engaged in free play with sensory table, housekeeping materials and blocks. The name-to-face form was not filled out for 9:30 am and 10:00 am. Supervision was adequate. In space #9, four (4) pre-K children engaged in games and building activities. The name-to-face form was filled out accurately and the supervision was adequate. Some corrections were made on the floor diagram. Space #7 was marked as a non-licensed room, but it was corrected as space #8. Space #8 was marked as a multi-purpose room, but the large space at the end of the hall was re-marked as a multi-purpose room, and it is now space #11. Ms. Peterson plans to modify space #11 (multi-purpose room) to create a sensory room. We discussed that any non-licensed space to be licensed or when a permanent change, such as hall walls or new plumbing, is made, building inspection, sanitation inspection, and fire inspection shall be completed prior to the space being licensed. The name-to-face record for June was reviewed. The children’s arrival time, departure time and check marks for ever thirty (30) minute increments were all filled out for all classrooms. Due to the fact that there were three (3) classrooms where the name-to-face count was not filled out accurately during today’s visit alone, some forms may be filled out at the end of the day, instead of in real time. The name-to-face count form is a helpful tool to prevent supervision mistakes. However, if the name-to-face count form is not always filled out accurately by the teachers, it can result in additional supervision issues. The teachers shall understand the purpose of the form and follow the procedures diligently in order to ensure the safety of the children. 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/ Due to the statements from the staff members, the allegation of violation of supervision rules was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. Teachers in space #6 with two-to-three-year-old children stated that one (1) child was left unattended in the classroom for approximately one (1) minute on 6/12/24 during transition from the classroom to outside. Prior to transition, a teacher miscounted the total number of the children resulting in the mistake. Before the group existed the double door to outside, the teachers realize the mistake, returned to the classroom and found the child. .1801(a)(1-5) 404 All staff did not wash their hands thoroughly after diapering each child. A teacher in space #3 with infants and one-year-old children changed a child's diaper and did not wash his/her hands before changing another child's diaper. 15A NCAC 18A .2803(a) 405 A child's hands were not washed after each diaper change. In space #3 with infants and one-year-old children, a child's diaper was changed, but the child's hands were not washed before returning to the play area. 15A NCAC 18A .2803(c)(2) 815 Electrical cords were accessible to infants and toddlers. In space #2 with one-to-two-year-old children, a cord for lamp and a cord for light-up table were accessible to one-year-old children. 10A NCAC 09 .0604(f) Technical assistance was provided as follows: 303: supervision Children shall be supervised at all times. Supervision mistakes occur during transition the most. Accurate head counts of children prior to leaving the classroom is a fire step to prevent the mistake. All teachers should be counting the children separately and communicating with one another. Ms. Peterson is planning to conduct a staff meeting on 6/20/24 to review the proper use of name-to-face forms and supervision during transition. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. 404: Handwashing of staff member Staff members shall wash hands each time he/she changes a child’s diaper. This is effective in preventing spread of germs. 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. 405: Handwashing of children The children’s hands shall be washed with soap and water after diaper changing procedures. The diaper changing procedure poster is a great resource for teachers to review periodically. 15A NCAC 18A .2803 HANDWASHING (c) Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for ten seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. Corrective Action Plan: Due to the nature of the violation, a follow-up visit will be conducted to verify the compliance. You are not required to submit a letter of compliance unless you choose to. 815: Electrical Cords Electrical cords shall not be accessible to infants and toddlers due to strangulation hazard. Pulling cords may result in objects falling on the children as well. The cords shall be hidden behind furniture or covered so that the children cannot pull them. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (f) Electrical cords shall not be accessible to infants and toddlers. Extension cords, except as approved by the local fire inspector, shall not be used. Frayed or cracked electrical cords shall be replaced. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 7/2/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Administrative Action: Due to the type of violation cited during today’s visit, you may be considered for Administrative Action. Slide in the classroom (Hawthorn): Young children walking down on the slide may result in falling backwards or falling off the slide. It is strongly recommended to closely supervise the use of the slide, strongly encourage children to sit and slide, or remove the slide out of the classroom if the supervision cannot be achieved. Monitoring of the classroom: Tools, such as ChildPlus apps and Name-to-Face check sheets are in place to prevent supervision mistakes. However, not all teachers follow the procedures resulting in mistakes. I recommend periodic monitoring of staff practices by the administrating staff. Due to the numbers of classroom Ms. Peterson have to monitor, additional tool, such as video cameras in the classroom, are recommended. Teachers and administrators should work together to ensure that safety policies and procedures are properly followed. We discussed the use of space #10. Ms. Peterson plans to open additional Pre-K classroom in space #10 in the future. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0524-192A Visit Date: 5/16/2024 Number Present: 41 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 11:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Anna Peterson, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Peterson and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On May 14, 2024, a staff member created an unsafe indoor environment for a child when the staff member changed a three-year-old child's diaper while the child was standing up on a changing table and the child fell from the changing table to the floor. 10A NCAC 09 .0601(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On May 14, 2024, a staff member pulled a one-year-old child by the child's hand, causing the child to sustain a dislocated elbow. G.S. 110-91(10) You may contact me at Morgan Brock, Investigations Consultant, 828-788-0011, morgan.brock@dhhs.nc.gov or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. 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. 110-91 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: MORGAN BROCK Operation Type: Center Case Number: 0524-192A Visit Date: 5/16/2024 Number Present: 41 Completed Date: 5/16/2024 Age: From 0 To 5 Total Minutes: 270 Time In: 11:30 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Anna Peterson, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Peterson and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. On May 14, 2024, a staff member created an unsafe indoor environment for a child when the staff member changed a three-year-old child's diaper while the child was standing up on a changing table and the child fell from the changing table to the floor. 10A NCAC 09 .0601(a) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On May 14, 2024, a staff member pulled a one-year-old child by the child's hand, causing the child to sustain a dislocated elbow. G.S. 110-91(10) You may contact me at Morgan Brock, Investigations Consultant, 828-788-0011, morgan.brock@dhhs.nc.gov or Natosha Lambeth, Western Investigations Team Supervisor, natosha.lambeth@dhhs.nc.gov. Thank you for your time. 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 .0902 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 47 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Anna Peterson, Administrator, accompanied me. 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 (80) percent as of 3/11/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 3/11/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/29/24. The last shelter-in-place drill was practiced on 1/31/24. The last playground inspection was documented on 2/14/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of one-year-old children were getting ready for breakfast. Today’s menu was Chex cereal, sliced pears and milk. Bananas were on the menu but corrected prior to serving children. One (1) teacher washed children’s hands, one (1) teacher served breakfast and one (1) teacher supervised children’s eating. There is no evacuation crib in this classroom. Per teachers, all children are walking. Diaper creams and medications were maintained, and the paperwork was current. Space #2 was closed during today’s visit due to the teacher’s absence. No hazardous materials were observed in the classroom. An action plan for an emergency medication maintained in this classroom was out of date. In space #3, a group of infants explored the environment. Some children rolled on the floor and mouthed materials. One (1) child was fed a bottle during the visit. Diaper cream and other medications were stored appropriately, and the forms were current. The facility is not currently using baby wearing devices, though they were stored in the classroom. Please develop a policy before you use them, including safe sleep procedures and teachers completing other tasks while carrying a baby. In space #4, a group of two-to-three-year-old children had breakfast. After breakfast, the children washed their hands and transitioned to free play. The children played with doctor’s kit, pretend food and other materials. Medications were stored appropriately, and the forms were current. In space #5, a group of two-to-three-year-old children engaged in free play. A child was attending stuffed animals using doctor’s kit. Other children played with light-up tables, water table, cardboard pieces and blocks. Medications were stored appropriately, and the forms were current. The children from space #6 played on the playground. The children rode riding toys, played with hula hoops and a balance beam. Teachers are positioned on opposite sides of the playground. One (1) of the children rode on a small bridge and slid backward. The riding toy’s tire got caught on the large rock, the child fell backwards and hit the back of the head on the rock. The child was taken inside, ice was applied or observed. No apparent injury was observed, and the child calmed down quickly. However, it is not recommended for the children to ride riding toys off the riding path for safety reasons. In space #7, a group of two-to-three-year-old children engaged in free play with pretend food, books, puzzles and other materials. Five-minutes warning was sand by the teachers and the children. Medications were stored appropriately, and the forms were current. In space #9, a group of three-to-five-year-old children engaged in free play. Some children attempted floor puzzles with teachers, and some children played a game with teachers in the housekeeping area. The children were actively engaged in the play. Medications were stored appropriately. One (1) of the medications’ action plan was expired. The new action plan was requested from the physician but has not been received. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. There is a BIG DIG in the sandbox on playground space #3. The paint on the tip of the shovel is peeled and rusted. There are no additional hazards observed. The sensory swing was discussed. The swing was used on the playground #3 but not currently. There is no age specification on the product page for the swing on Amazon.com. If the products are age-appropriate, it is advised to use over the mat or soft surfacing. If the products are not age-appropriate or no information on age is provided, you shall not use the product. Ten (10) new staff files and three (3) existing staff files were monitored in full. Ten (10) staff files were monitored for CPR/First Aid certificate. ABCMS system was monitored previously. Two (2) new staff members and one (1) staff member was monitored on ABCMS during the visit. Lunch was served during the visit. Today's lunch was burger, bans, roasted potatoes, peas, diced peaches and milk. Most classrooms have three (3) staff members. Supervision and interaction was adequate. Seven (7) children’s files were monitored. All files were in compliance. 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 monitoring tool was completed by Ms. Peterson on 10/30/23. Three (3) NC Pre-K children files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) infant's feeding plan was not posted in the classroom #3. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. the tip of the shovel on BIG DIG digger is peeled and rusted on playground #3. .0601(c) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Several pieces of styrofoam were in the water table in space #5. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An action plan for Albuterol in space #2 was not in file. An action plan for a child with an Epi-pen in space #9 expired on 2/1/24. .0801(b) Technical assistance was provided as follows: 540: Feeding plans Feeding plans for children at fifteen (15) months of age or younger shall be posted in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Rust When paint on the equipment or toy is peeled and rusted, please remove the toy, remove the rust or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 861: Styrofoam Styrofoam products are not permitted in the classroom with children younger than three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1835: Medical Action Plan Medication action plan shall be annually renewed. Medical action plans can be filled out by a physician or the parent of the child. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Verner Central Center for Early Learning is in cohort three (3). Action plan: Action plans can be filled out either by a physician or the parent. Storage of confidential information: Per Federal review of DCDEE files, it was advised that each staff member’s confidential information should be stored separately. This requirement is relatively new; therefore, a violation was not cited during today’s visit for this item. Going forward, this will be cited as a violation. Staff and Training Worksheet: Please write expiration date of CPR and First Aid training on item 19 on Staff and Training Worksheet. Reminder: SW’s (LT, infant/toddler) ITS/SIDS training will expire on 3/26/24. JT (teacher, infant/toddler): This staff member completed health and safety training during 8/11/19 – 8/9/21. Typically, renewal of the training is based on the completion date of the previous training. However, this staff member completed the training during a two-year period. Since some of the training was completed nearly five (5) years ago, it is recommended that he/she completes the training again for the 5th year cycle prior to 8/11/24. Medication permission form for BG in space #9 will expire on 4/13/24. Medication permission form for LG in space #6 will expire on 4/18/24. The medication for WG in space #4 will expire in May 2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 47 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Anna Peterson, Administrator, accompanied me. 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 (80) percent as of 3/11/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 3/11/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/29/24. The last shelter-in-place drill was practiced on 1/31/24. The last playground inspection was documented on 2/14/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of one-year-old children were getting ready for breakfast. Today’s menu was Chex cereal, sliced pears and milk. Bananas were on the menu but corrected prior to serving children. One (1) teacher washed children’s hands, one (1) teacher served breakfast and one (1) teacher supervised children’s eating. There is no evacuation crib in this classroom. Per teachers, all children are walking. Diaper creams and medications were maintained, and the paperwork was current. Space #2 was closed during today’s visit due to the teacher’s absence. No hazardous materials were observed in the classroom. An action plan for an emergency medication maintained in this classroom was out of date. In space #3, a group of infants explored the environment. Some children rolled on the floor and mouthed materials. One (1) child was fed a bottle during the visit. Diaper cream and other medications were stored appropriately, and the forms were current. The facility is not currently using baby wearing devices, though they were stored in the classroom. Please develop a policy before you use them, including safe sleep procedures and teachers completing other tasks while carrying a baby. In space #4, a group of two-to-three-year-old children had breakfast. After breakfast, the children washed their hands and transitioned to free play. The children played with doctor’s kit, pretend food and other materials. Medications were stored appropriately, and the forms were current. In space #5, a group of two-to-three-year-old children engaged in free play. A child was attending stuffed animals using doctor’s kit. Other children played with light-up tables, water table, cardboard pieces and blocks. Medications were stored appropriately, and the forms were current. The children from space #6 played on the playground. The children rode riding toys, played with hula hoops and a balance beam. Teachers are positioned on opposite sides of the playground. One (1) of the children rode on a small bridge and slid backward. The riding toy’s tire got caught on the large rock, the child fell backwards and hit the back of the head on the rock. The child was taken inside, ice was applied or observed. No apparent injury was observed, and the child calmed down quickly. However, it is not recommended for the children to ride riding toys off the riding path for safety reasons. In space #7, a group of two-to-three-year-old children engaged in free play with pretend food, books, puzzles and other materials. Five-minutes warning was sand by the teachers and the children. Medications were stored appropriately, and the forms were current. In space #9, a group of three-to-five-year-old children engaged in free play. Some children attempted floor puzzles with teachers, and some children played a game with teachers in the housekeeping area. The children were actively engaged in the play. Medications were stored appropriately. One (1) of the medications’ action plan was expired. The new action plan was requested from the physician but has not been received. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. There is a BIG DIG in the sandbox on playground space #3. The paint on the tip of the shovel is peeled and rusted. There are no additional hazards observed. The sensory swing was discussed. The swing was used on the playground #3 but not currently. There is no age specification on the product page for the swing on Amazon.com. If the products are age-appropriate, it is advised to use over the mat or soft surfacing. If the products are not age-appropriate or no information on age is provided, you shall not use the product. Ten (10) new staff files and three (3) existing staff files were monitored in full. Ten (10) staff files were monitored for CPR/First Aid certificate. ABCMS system was monitored previously. Two (2) new staff members and one (1) staff member was monitored on ABCMS during the visit. Lunch was served during the visit. Today's lunch was burger, bans, roasted potatoes, peas, diced peaches and milk. Most classrooms have three (3) staff members. Supervision and interaction was adequate. Seven (7) children’s files were monitored. All files were in compliance. 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 monitoring tool was completed by Ms. Peterson on 10/30/23. Three (3) NC Pre-K children files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) infant's feeding plan was not posted in the classroom #3. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. the tip of the shovel on BIG DIG digger is peeled and rusted on playground #3. .0601(c) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Several pieces of styrofoam were in the water table in space #5. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An action plan for Albuterol in space #2 was not in file. An action plan for a child with an Epi-pen in space #9 expired on 2/1/24. .0801(b) Technical assistance was provided as follows: 540: Feeding plans Feeding plans for children at fifteen (15) months of age or younger shall be posted in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Rust When paint on the equipment or toy is peeled and rusted, please remove the toy, remove the rust or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 861: Styrofoam Styrofoam products are not permitted in the classroom with children younger than three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1835: Medical Action Plan Medication action plan shall be annually renewed. Medical action plans can be filled out by a physician or the parent of the child. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Verner Central Center for Early Learning is in cohort three (3). Action plan: Action plans can be filled out either by a physician or the parent. Storage of confidential information: Per Federal review of DCDEE files, it was advised that each staff member’s confidential information should be stored separately. This requirement is relatively new; therefore, a violation was not cited during today’s visit for this item. Going forward, this will be cited as a violation. Staff and Training Worksheet: Please write expiration date of CPR and First Aid training on item 19 on Staff and Training Worksheet. Reminder: SW’s (LT, infant/toddler) ITS/SIDS training will expire on 3/26/24. JT (teacher, infant/toddler): This staff member completed health and safety training during 8/11/19 – 8/9/21. Typically, renewal of the training is based on the completion date of the previous training. However, this staff member completed the training during a two-year period. Since some of the training was completed nearly five (5) years ago, it is recommended that he/she completes the training again for the 5th year cycle prior to 8/11/24. Medication permission form for BG in space #9 will expire on 4/13/24. Medication permission form for LG in space #6 will expire on 4/18/24. The medication for WG in space #4 will expire in May 2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 47 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Anna Peterson, Administrator, accompanied me. 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 (80) percent as of 3/11/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 3/11/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/29/24. The last shelter-in-place drill was practiced on 1/31/24. The last playground inspection was documented on 2/14/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of one-year-old children were getting ready for breakfast. Today’s menu was Chex cereal, sliced pears and milk. Bananas were on the menu but corrected prior to serving children. One (1) teacher washed children’s hands, one (1) teacher served breakfast and one (1) teacher supervised children’s eating. There is no evacuation crib in this classroom. Per teachers, all children are walking. Diaper creams and medications were maintained, and the paperwork was current. Space #2 was closed during today’s visit due to the teacher’s absence. No hazardous materials were observed in the classroom. An action plan for an emergency medication maintained in this classroom was out of date. In space #3, a group of infants explored the environment. Some children rolled on the floor and mouthed materials. One (1) child was fed a bottle during the visit. Diaper cream and other medications were stored appropriately, and the forms were current. The facility is not currently using baby wearing devices, though they were stored in the classroom. Please develop a policy before you use them, including safe sleep procedures and teachers completing other tasks while carrying a baby. In space #4, a group of two-to-three-year-old children had breakfast. After breakfast, the children washed their hands and transitioned to free play. The children played with doctor’s kit, pretend food and other materials. Medications were stored appropriately, and the forms were current. In space #5, a group of two-to-three-year-old children engaged in free play. A child was attending stuffed animals using doctor’s kit. Other children played with light-up tables, water table, cardboard pieces and blocks. Medications were stored appropriately, and the forms were current. The children from space #6 played on the playground. The children rode riding toys, played with hula hoops and a balance beam. Teachers are positioned on opposite sides of the playground. One (1) of the children rode on a small bridge and slid backward. The riding toy’s tire got caught on the large rock, the child fell backwards and hit the back of the head on the rock. The child was taken inside, ice was applied or observed. No apparent injury was observed, and the child calmed down quickly. However, it is not recommended for the children to ride riding toys off the riding path for safety reasons. In space #7, a group of two-to-three-year-old children engaged in free play with pretend food, books, puzzles and other materials. Five-minutes warning was sand by the teachers and the children. Medications were stored appropriately, and the forms were current. In space #9, a group of three-to-five-year-old children engaged in free play. Some children attempted floor puzzles with teachers, and some children played a game with teachers in the housekeeping area. The children were actively engaged in the play. Medications were stored appropriately. One (1) of the medications’ action plan was expired. The new action plan was requested from the physician but has not been received. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. There is a BIG DIG in the sandbox on playground space #3. The paint on the tip of the shovel is peeled and rusted. There are no additional hazards observed. The sensory swing was discussed. The swing was used on the playground #3 but not currently. There is no age specification on the product page for the swing on Amazon.com. If the products are age-appropriate, it is advised to use over the mat or soft surfacing. If the products are not age-appropriate or no information on age is provided, you shall not use the product. Ten (10) new staff files and three (3) existing staff files were monitored in full. Ten (10) staff files were monitored for CPR/First Aid certificate. ABCMS system was monitored previously. Two (2) new staff members and one (1) staff member was monitored on ABCMS during the visit. Lunch was served during the visit. Today's lunch was burger, bans, roasted potatoes, peas, diced peaches and milk. Most classrooms have three (3) staff members. Supervision and interaction was adequate. Seven (7) children’s files were monitored. All files were in compliance. 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 monitoring tool was completed by Ms. Peterson on 10/30/23. Three (3) NC Pre-K children files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) infant's feeding plan was not posted in the classroom #3. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. the tip of the shovel on BIG DIG digger is peeled and rusted on playground #3. .0601(c) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Several pieces of styrofoam were in the water table in space #5. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An action plan for Albuterol in space #2 was not in file. An action plan for a child with an Epi-pen in space #9 expired on 2/1/24. .0801(b) Technical assistance was provided as follows: 540: Feeding plans Feeding plans for children at fifteen (15) months of age or younger shall be posted in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Rust When paint on the equipment or toy is peeled and rusted, please remove the toy, remove the rust or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 861: Styrofoam Styrofoam products are not permitted in the classroom with children younger than three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1835: Medical Action Plan Medication action plan shall be annually renewed. Medical action plans can be filled out by a physician or the parent of the child. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Verner Central Center for Early Learning is in cohort three (3). Action plan: Action plans can be filled out either by a physician or the parent. Storage of confidential information: Per Federal review of DCDEE files, it was advised that each staff member’s confidential information should be stored separately. This requirement is relatively new; therefore, a violation was not cited during today’s visit for this item. Going forward, this will be cited as a violation. Staff and Training Worksheet: Please write expiration date of CPR and First Aid training on item 19 on Staff and Training Worksheet. Reminder: SW’s (LT, infant/toddler) ITS/SIDS training will expire on 3/26/24. JT (teacher, infant/toddler): This staff member completed health and safety training during 8/11/19 – 8/9/21. Typically, renewal of the training is based on the completion date of the previous training. However, this staff member completed the training during a two-year period. Since some of the training was completed nearly five (5) years ago, it is recommended that he/she completes the training again for the 5th year cycle prior to 8/11/24. Medication permission form for BG in space #9 will expire on 4/13/24. Medication permission form for LG in space #6 will expire on 4/18/24. The medication for WG in space #4 will expire in May 2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 47 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Anna Peterson, Administrator, accompanied me. 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 (80) percent as of 3/11/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 3/11/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/29/24. The last shelter-in-place drill was practiced on 1/31/24. The last playground inspection was documented on 2/14/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of one-year-old children were getting ready for breakfast. Today’s menu was Chex cereal, sliced pears and milk. Bananas were on the menu but corrected prior to serving children. One (1) teacher washed children’s hands, one (1) teacher served breakfast and one (1) teacher supervised children’s eating. There is no evacuation crib in this classroom. Per teachers, all children are walking. Diaper creams and medications were maintained, and the paperwork was current. Space #2 was closed during today’s visit due to the teacher’s absence. No hazardous materials were observed in the classroom. An action plan for an emergency medication maintained in this classroom was out of date. In space #3, a group of infants explored the environment. Some children rolled on the floor and mouthed materials. One (1) child was fed a bottle during the visit. Diaper cream and other medications were stored appropriately, and the forms were current. The facility is not currently using baby wearing devices, though they were stored in the classroom. Please develop a policy before you use them, including safe sleep procedures and teachers completing other tasks while carrying a baby. In space #4, a group of two-to-three-year-old children had breakfast. After breakfast, the children washed their hands and transitioned to free play. The children played with doctor’s kit, pretend food and other materials. Medications were stored appropriately, and the forms were current. In space #5, a group of two-to-three-year-old children engaged in free play. A child was attending stuffed animals using doctor’s kit. Other children played with light-up tables, water table, cardboard pieces and blocks. Medications were stored appropriately, and the forms were current. The children from space #6 played on the playground. The children rode riding toys, played with hula hoops and a balance beam. Teachers are positioned on opposite sides of the playground. One (1) of the children rode on a small bridge and slid backward. The riding toy’s tire got caught on the large rock, the child fell backwards and hit the back of the head on the rock. The child was taken inside, ice was applied or observed. No apparent injury was observed, and the child calmed down quickly. However, it is not recommended for the children to ride riding toys off the riding path for safety reasons. In space #7, a group of two-to-three-year-old children engaged in free play with pretend food, books, puzzles and other materials. Five-minutes warning was sand by the teachers and the children. Medications were stored appropriately, and the forms were current. In space #9, a group of three-to-five-year-old children engaged in free play. Some children attempted floor puzzles with teachers, and some children played a game with teachers in the housekeeping area. The children were actively engaged in the play. Medications were stored appropriately. One (1) of the medications’ action plan was expired. The new action plan was requested from the physician but has not been received. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. There is a BIG DIG in the sandbox on playground space #3. The paint on the tip of the shovel is peeled and rusted. There are no additional hazards observed. The sensory swing was discussed. The swing was used on the playground #3 but not currently. There is no age specification on the product page for the swing on Amazon.com. If the products are age-appropriate, it is advised to use over the mat or soft surfacing. If the products are not age-appropriate or no information on age is provided, you shall not use the product. Ten (10) new staff files and three (3) existing staff files were monitored in full. Ten (10) staff files were monitored for CPR/First Aid certificate. ABCMS system was monitored previously. Two (2) new staff members and one (1) staff member was monitored on ABCMS during the visit. Lunch was served during the visit. Today's lunch was burger, bans, roasted potatoes, peas, diced peaches and milk. Most classrooms have three (3) staff members. Supervision and interaction was adequate. Seven (7) children’s files were monitored. All files were in compliance. 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 monitoring tool was completed by Ms. Peterson on 10/30/23. Three (3) NC Pre-K children files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) infant's feeding plan was not posted in the classroom #3. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. the tip of the shovel on BIG DIG digger is peeled and rusted on playground #3. .0601(c) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Several pieces of styrofoam were in the water table in space #5. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An action plan for Albuterol in space #2 was not in file. An action plan for a child with an Epi-pen in space #9 expired on 2/1/24. .0801(b) Technical assistance was provided as follows: 540: Feeding plans Feeding plans for children at fifteen (15) months of age or younger shall be posted in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Rust When paint on the equipment or toy is peeled and rusted, please remove the toy, remove the rust or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 861: Styrofoam Styrofoam products are not permitted in the classroom with children younger than three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1835: Medical Action Plan Medication action plan shall be annually renewed. Medical action plans can be filled out by a physician or the parent of the child. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Verner Central Center for Early Learning is in cohort three (3). Action plan: Action plans can be filled out either by a physician or the parent. Storage of confidential information: Per Federal review of DCDEE files, it was advised that each staff member’s confidential information should be stored separately. This requirement is relatively new; therefore, a violation was not cited during today’s visit for this item. Going forward, this will be cited as a violation. Staff and Training Worksheet: Please write expiration date of CPR and First Aid training on item 19 on Staff and Training Worksheet. Reminder: SW’s (LT, infant/toddler) ITS/SIDS training will expire on 3/26/24. JT (teacher, infant/toddler): This staff member completed health and safety training during 8/11/19 – 8/9/21. Typically, renewal of the training is based on the completion date of the previous training. However, this staff member completed the training during a two-year period. Since some of the training was completed nearly five (5) years ago, it is recommended that he/she completes the training again for the 5th year cycle prior to 8/11/24. Medication permission form for BG in space #9 will expire on 4/13/24. Medication permission form for LG in space #6 will expire on 4/18/24. The medication for WG in space #4 will expire in May 2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 47 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Anna Peterson, Administrator, accompanied me. 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 (80) percent as of 3/11/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 3/11/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/29/24. The last shelter-in-place drill was practiced on 1/31/24. The last playground inspection was documented on 2/14/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of one-year-old children were getting ready for breakfast. Today’s menu was Chex cereal, sliced pears and milk. Bananas were on the menu but corrected prior to serving children. One (1) teacher washed children’s hands, one (1) teacher served breakfast and one (1) teacher supervised children’s eating. There is no evacuation crib in this classroom. Per teachers, all children are walking. Diaper creams and medications were maintained, and the paperwork was current. Space #2 was closed during today’s visit due to the teacher’s absence. No hazardous materials were observed in the classroom. An action plan for an emergency medication maintained in this classroom was out of date. In space #3, a group of infants explored the environment. Some children rolled on the floor and mouthed materials. One (1) child was fed a bottle during the visit. Diaper cream and other medications were stored appropriately, and the forms were current. The facility is not currently using baby wearing devices, though they were stored in the classroom. Please develop a policy before you use them, including safe sleep procedures and teachers completing other tasks while carrying a baby. In space #4, a group of two-to-three-year-old children had breakfast. After breakfast, the children washed their hands and transitioned to free play. The children played with doctor’s kit, pretend food and other materials. Medications were stored appropriately, and the forms were current. In space #5, a group of two-to-three-year-old children engaged in free play. A child was attending stuffed animals using doctor’s kit. Other children played with light-up tables, water table, cardboard pieces and blocks. Medications were stored appropriately, and the forms were current. The children from space #6 played on the playground. The children rode riding toys, played with hula hoops and a balance beam. Teachers are positioned on opposite sides of the playground. One (1) of the children rode on a small bridge and slid backward. The riding toy’s tire got caught on the large rock, the child fell backwards and hit the back of the head on the rock. The child was taken inside, ice was applied or observed. No apparent injury was observed, and the child calmed down quickly. However, it is not recommended for the children to ride riding toys off the riding path for safety reasons. In space #7, a group of two-to-three-year-old children engaged in free play with pretend food, books, puzzles and other materials. Five-minutes warning was sand by the teachers and the children. Medications were stored appropriately, and the forms were current. In space #9, a group of three-to-five-year-old children engaged in free play. Some children attempted floor puzzles with teachers, and some children played a game with teachers in the housekeeping area. The children were actively engaged in the play. Medications were stored appropriately. One (1) of the medications’ action plan was expired. The new action plan was requested from the physician but has not been received. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. There is a BIG DIG in the sandbox on playground space #3. The paint on the tip of the shovel is peeled and rusted. There are no additional hazards observed. The sensory swing was discussed. The swing was used on the playground #3 but not currently. There is no age specification on the product page for the swing on Amazon.com. If the products are age-appropriate, it is advised to use over the mat or soft surfacing. If the products are not age-appropriate or no information on age is provided, you shall not use the product. Ten (10) new staff files and three (3) existing staff files were monitored in full. Ten (10) staff files were monitored for CPR/First Aid certificate. ABCMS system was monitored previously. Two (2) new staff members and one (1) staff member was monitored on ABCMS during the visit. Lunch was served during the visit. Today's lunch was burger, bans, roasted potatoes, peas, diced peaches and milk. Most classrooms have three (3) staff members. Supervision and interaction was adequate. Seven (7) children’s files were monitored. All files were in compliance. 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 monitoring tool was completed by Ms. Peterson on 10/30/23. Three (3) NC Pre-K children files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) infant's feeding plan was not posted in the classroom #3. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. the tip of the shovel on BIG DIG digger is peeled and rusted on playground #3. .0601(c) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Several pieces of styrofoam were in the water table in space #5. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An action plan for Albuterol in space #2 was not in file. An action plan for a child with an Epi-pen in space #9 expired on 2/1/24. .0801(b) Technical assistance was provided as follows: 540: Feeding plans Feeding plans for children at fifteen (15) months of age or younger shall be posted in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Rust When paint on the equipment or toy is peeled and rusted, please remove the toy, remove the rust or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 861: Styrofoam Styrofoam products are not permitted in the classroom with children younger than three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1835: Medical Action Plan Medication action plan shall be annually renewed. Medical action plans can be filled out by a physician or the parent of the child. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Verner Central Center for Early Learning is in cohort three (3). Action plan: Action plans can be filled out either by a physician or the parent. Storage of confidential information: Per Federal review of DCDEE files, it was advised that each staff member’s confidential information should be stored separately. This requirement is relatively new; therefore, a violation was not cited during today’s visit for this item. Going forward, this will be cited as a violation. Staff and Training Worksheet: Please write expiration date of CPR and First Aid training on item 19 on Staff and Training Worksheet. Reminder: SW’s (LT, infant/toddler) ITS/SIDS training will expire on 3/26/24. JT (teacher, infant/toddler): This staff member completed health and safety training during 8/11/19 – 8/9/21. Typically, renewal of the training is based on the completion date of the previous training. However, this staff member completed the training during a two-year period. Since some of the training was completed nearly five (5) years ago, it is recommended that he/she completes the training again for the 5th year cycle prior to 8/11/24. Medication permission form for BG in space #9 will expire on 4/13/24. Medication permission form for LG in space #6 will expire on 4/18/24. The medication for WG in space #4 will expire in May 2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0902 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 47 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Anna Peterson, Administrator, accompanied me. 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 (80) percent as of 3/11/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 3/11/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/29/24. The last shelter-in-place drill was practiced on 1/31/24. The last playground inspection was documented on 2/14/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of one-year-old children were getting ready for breakfast. Today’s menu was Chex cereal, sliced pears and milk. Bananas were on the menu but corrected prior to serving children. One (1) teacher washed children’s hands, one (1) teacher served breakfast and one (1) teacher supervised children’s eating. There is no evacuation crib in this classroom. Per teachers, all children are walking. Diaper creams and medications were maintained, and the paperwork was current. Space #2 was closed during today’s visit due to the teacher’s absence. No hazardous materials were observed in the classroom. An action plan for an emergency medication maintained in this classroom was out of date. In space #3, a group of infants explored the environment. Some children rolled on the floor and mouthed materials. One (1) child was fed a bottle during the visit. Diaper cream and other medications were stored appropriately, and the forms were current. The facility is not currently using baby wearing devices, though they were stored in the classroom. Please develop a policy before you use them, including safe sleep procedures and teachers completing other tasks while carrying a baby. In space #4, a group of two-to-three-year-old children had breakfast. After breakfast, the children washed their hands and transitioned to free play. The children played with doctor’s kit, pretend food and other materials. Medications were stored appropriately, and the forms were current. In space #5, a group of two-to-three-year-old children engaged in free play. A child was attending stuffed animals using doctor’s kit. Other children played with light-up tables, water table, cardboard pieces and blocks. Medications were stored appropriately, and the forms were current. The children from space #6 played on the playground. The children rode riding toys, played with hula hoops and a balance beam. Teachers are positioned on opposite sides of the playground. One (1) of the children rode on a small bridge and slid backward. The riding toy’s tire got caught on the large rock, the child fell backwards and hit the back of the head on the rock. The child was taken inside, ice was applied or observed. No apparent injury was observed, and the child calmed down quickly. However, it is not recommended for the children to ride riding toys off the riding path for safety reasons. In space #7, a group of two-to-three-year-old children engaged in free play with pretend food, books, puzzles and other materials. Five-minutes warning was sand by the teachers and the children. Medications were stored appropriately, and the forms were current. In space #9, a group of three-to-five-year-old children engaged in free play. Some children attempted floor puzzles with teachers, and some children played a game with teachers in the housekeeping area. The children were actively engaged in the play. Medications were stored appropriately. One (1) of the medications’ action plan was expired. The new action plan was requested from the physician but has not been received. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. There is a BIG DIG in the sandbox on playground space #3. The paint on the tip of the shovel is peeled and rusted. There are no additional hazards observed. The sensory swing was discussed. The swing was used on the playground #3 but not currently. There is no age specification on the product page for the swing on Amazon.com. If the products are age-appropriate, it is advised to use over the mat or soft surfacing. If the products are not age-appropriate or no information on age is provided, you shall not use the product. Ten (10) new staff files and three (3) existing staff files were monitored in full. Ten (10) staff files were monitored for CPR/First Aid certificate. ABCMS system was monitored previously. Two (2) new staff members and one (1) staff member was monitored on ABCMS during the visit. Lunch was served during the visit. Today's lunch was burger, bans, roasted potatoes, peas, diced peaches and milk. Most classrooms have three (3) staff members. Supervision and interaction was adequate. Seven (7) children’s files were monitored. All files were in compliance. 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 monitoring tool was completed by Ms. Peterson on 10/30/23. Three (3) NC Pre-K children files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) infant's feeding plan was not posted in the classroom #3. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. the tip of the shovel on BIG DIG digger is peeled and rusted on playground #3. .0601(c) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Several pieces of styrofoam were in the water table in space #5. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An action plan for Albuterol in space #2 was not in file. An action plan for a child with an Epi-pen in space #9 expired on 2/1/24. .0801(b) Technical assistance was provided as follows: 540: Feeding plans Feeding plans for children at fifteen (15) months of age or younger shall be posted in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Rust When paint on the equipment or toy is peeled and rusted, please remove the toy, remove the rust or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 861: Styrofoam Styrofoam products are not permitted in the classroom with children younger than three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1835: Medical Action Plan Medication action plan shall be annually renewed. Medical action plans can be filled out by a physician or the parent of the child. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Verner Central Center for Early Learning is in cohort three (3). Action plan: Action plans can be filled out either by a physician or the parent. Storage of confidential information: Per Federal review of DCDEE files, it was advised that each staff member’s confidential information should be stored separately. This requirement is relatively new; therefore, a violation was not cited during today’s visit for this item. Going forward, this will be cited as a violation. Staff and Training Worksheet: Please write expiration date of CPR and First Aid training on item 19 on Staff and Training Worksheet. Reminder: SW’s (LT, infant/toddler) ITS/SIDS training will expire on 3/26/24. JT (teacher, infant/toddler): This staff member completed health and safety training during 8/11/19 – 8/9/21. Typically, renewal of the training is based on the completion date of the previous training. However, this staff member completed the training during a two-year period. Since some of the training was completed nearly five (5) years ago, it is recommended that he/she completes the training again for the 5th year cycle prior to 8/11/24. Medication permission form for BG in space #9 will expire on 4/13/24. Medication permission form for LG in space #6 will expire on 4/18/24. The medication for WG in space #4 will expire in May 2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 47 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Anna Peterson, Administrator, accompanied me. 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 (80) percent as of 3/11/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 3/11/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/29/24. The last shelter-in-place drill was practiced on 1/31/24. The last playground inspection was documented on 2/14/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of one-year-old children were getting ready for breakfast. Today’s menu was Chex cereal, sliced pears and milk. Bananas were on the menu but corrected prior to serving children. One (1) teacher washed children’s hands, one (1) teacher served breakfast and one (1) teacher supervised children’s eating. There is no evacuation crib in this classroom. Per teachers, all children are walking. Diaper creams and medications were maintained, and the paperwork was current. Space #2 was closed during today’s visit due to the teacher’s absence. No hazardous materials were observed in the classroom. An action plan for an emergency medication maintained in this classroom was out of date. In space #3, a group of infants explored the environment. Some children rolled on the floor and mouthed materials. One (1) child was fed a bottle during the visit. Diaper cream and other medications were stored appropriately, and the forms were current. The facility is not currently using baby wearing devices, though they were stored in the classroom. Please develop a policy before you use them, including safe sleep procedures and teachers completing other tasks while carrying a baby. In space #4, a group of two-to-three-year-old children had breakfast. After breakfast, the children washed their hands and transitioned to free play. The children played with doctor’s kit, pretend food and other materials. Medications were stored appropriately, and the forms were current. In space #5, a group of two-to-three-year-old children engaged in free play. A child was attending stuffed animals using doctor’s kit. Other children played with light-up tables, water table, cardboard pieces and blocks. Medications were stored appropriately, and the forms were current. The children from space #6 played on the playground. The children rode riding toys, played with hula hoops and a balance beam. Teachers are positioned on opposite sides of the playground. One (1) of the children rode on a small bridge and slid backward. The riding toy’s tire got caught on the large rock, the child fell backwards and hit the back of the head on the rock. The child was taken inside, ice was applied or observed. No apparent injury was observed, and the child calmed down quickly. However, it is not recommended for the children to ride riding toys off the riding path for safety reasons. In space #7, a group of two-to-three-year-old children engaged in free play with pretend food, books, puzzles and other materials. Five-minutes warning was sand by the teachers and the children. Medications were stored appropriately, and the forms were current. In space #9, a group of three-to-five-year-old children engaged in free play. Some children attempted floor puzzles with teachers, and some children played a game with teachers in the housekeeping area. The children were actively engaged in the play. Medications were stored appropriately. One (1) of the medications’ action plan was expired. The new action plan was requested from the physician but has not been received. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. There is a BIG DIG in the sandbox on playground space #3. The paint on the tip of the shovel is peeled and rusted. There are no additional hazards observed. The sensory swing was discussed. The swing was used on the playground #3 but not currently. There is no age specification on the product page for the swing on Amazon.com. If the products are age-appropriate, it is advised to use over the mat or soft surfacing. If the products are not age-appropriate or no information on age is provided, you shall not use the product. Ten (10) new staff files and three (3) existing staff files were monitored in full. Ten (10) staff files were monitored for CPR/First Aid certificate. ABCMS system was monitored previously. Two (2) new staff members and one (1) staff member was monitored on ABCMS during the visit. Lunch was served during the visit. Today's lunch was burger, bans, roasted potatoes, peas, diced peaches and milk. Most classrooms have three (3) staff members. Supervision and interaction was adequate. Seven (7) children’s files were monitored. All files were in compliance. 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 monitoring tool was completed by Ms. Peterson on 10/30/23. Three (3) NC Pre-K children files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) infant's feeding plan was not posted in the classroom #3. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. the tip of the shovel on BIG DIG digger is peeled and rusted on playground #3. .0601(c) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Several pieces of styrofoam were in the water table in space #5. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An action plan for Albuterol in space #2 was not in file. An action plan for a child with an Epi-pen in space #9 expired on 2/1/24. .0801(b) Technical assistance was provided as follows: 540: Feeding plans Feeding plans for children at fifteen (15) months of age or younger shall be posted in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Rust When paint on the equipment or toy is peeled and rusted, please remove the toy, remove the rust or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 861: Styrofoam Styrofoam products are not permitted in the classroom with children younger than three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1835: Medical Action Plan Medication action plan shall be annually renewed. Medical action plans can be filled out by a physician or the parent of the child. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Verner Central Center for Early Learning is in cohort three (3). Action plan: Action plans can be filled out either by a physician or the parent. Storage of confidential information: Per Federal review of DCDEE files, it was advised that each staff member’s confidential information should be stored separately. This requirement is relatively new; therefore, a violation was not cited during today’s visit for this item. Going forward, this will be cited as a violation. Staff and Training Worksheet: Please write expiration date of CPR and First Aid training on item 19 on Staff and Training Worksheet. Reminder: SW’s (LT, infant/toddler) ITS/SIDS training will expire on 3/26/24. JT (teacher, infant/toddler): This staff member completed health and safety training during 8/11/19 – 8/9/21. Typically, renewal of the training is based on the completion date of the previous training. However, this staff member completed the training during a two-year period. Since some of the training was completed nearly five (5) years ago, it is recommended that he/she completes the training again for the 5th year cycle prior to 8/11/24. Medication permission form for BG in space #9 will expire on 4/13/24. Medication permission form for LG in space #6 will expire on 4/18/24. The medication for WG in space #4 will expire in May 2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 47 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Anna Peterson, Administrator, accompanied me. 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 (80) percent as of 3/11/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 3/11/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/29/24. The last shelter-in-place drill was practiced on 1/31/24. The last playground inspection was documented on 2/14/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of one-year-old children were getting ready for breakfast. Today’s menu was Chex cereal, sliced pears and milk. Bananas were on the menu but corrected prior to serving children. One (1) teacher washed children’s hands, one (1) teacher served breakfast and one (1) teacher supervised children’s eating. There is no evacuation crib in this classroom. Per teachers, all children are walking. Diaper creams and medications were maintained, and the paperwork was current. Space #2 was closed during today’s visit due to the teacher’s absence. No hazardous materials were observed in the classroom. An action plan for an emergency medication maintained in this classroom was out of date. In space #3, a group of infants explored the environment. Some children rolled on the floor and mouthed materials. One (1) child was fed a bottle during the visit. Diaper cream and other medications were stored appropriately, and the forms were current. The facility is not currently using baby wearing devices, though they were stored in the classroom. Please develop a policy before you use them, including safe sleep procedures and teachers completing other tasks while carrying a baby. In space #4, a group of two-to-three-year-old children had breakfast. After breakfast, the children washed their hands and transitioned to free play. The children played with doctor’s kit, pretend food and other materials. Medications were stored appropriately, and the forms were current. In space #5, a group of two-to-three-year-old children engaged in free play. A child was attending stuffed animals using doctor’s kit. Other children played with light-up tables, water table, cardboard pieces and blocks. Medications were stored appropriately, and the forms were current. The children from space #6 played on the playground. The children rode riding toys, played with hula hoops and a balance beam. Teachers are positioned on opposite sides of the playground. One (1) of the children rode on a small bridge and slid backward. The riding toy’s tire got caught on the large rock, the child fell backwards and hit the back of the head on the rock. The child was taken inside, ice was applied or observed. No apparent injury was observed, and the child calmed down quickly. However, it is not recommended for the children to ride riding toys off the riding path for safety reasons. In space #7, a group of two-to-three-year-old children engaged in free play with pretend food, books, puzzles and other materials. Five-minutes warning was sand by the teachers and the children. Medications were stored appropriately, and the forms were current. In space #9, a group of three-to-five-year-old children engaged in free play. Some children attempted floor puzzles with teachers, and some children played a game with teachers in the housekeeping area. The children were actively engaged in the play. Medications were stored appropriately. One (1) of the medications’ action plan was expired. The new action plan was requested from the physician but has not been received. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. There is a BIG DIG in the sandbox on playground space #3. The paint on the tip of the shovel is peeled and rusted. There are no additional hazards observed. The sensory swing was discussed. The swing was used on the playground #3 but not currently. There is no age specification on the product page for the swing on Amazon.com. If the products are age-appropriate, it is advised to use over the mat or soft surfacing. If the products are not age-appropriate or no information on age is provided, you shall not use the product. Ten (10) new staff files and three (3) existing staff files were monitored in full. Ten (10) staff files were monitored for CPR/First Aid certificate. ABCMS system was monitored previously. Two (2) new staff members and one (1) staff member was monitored on ABCMS during the visit. Lunch was served during the visit. Today's lunch was burger, bans, roasted potatoes, peas, diced peaches and milk. Most classrooms have three (3) staff members. Supervision and interaction was adequate. Seven (7) children’s files were monitored. All files were in compliance. 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 monitoring tool was completed by Ms. Peterson on 10/30/23. Three (3) NC Pre-K children files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) infant's feeding plan was not posted in the classroom #3. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. the tip of the shovel on BIG DIG digger is peeled and rusted on playground #3. .0601(c) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Several pieces of styrofoam were in the water table in space #5. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An action plan for Albuterol in space #2 was not in file. An action plan for a child with an Epi-pen in space #9 expired on 2/1/24. .0801(b) Technical assistance was provided as follows: 540: Feeding plans Feeding plans for children at fifteen (15) months of age or younger shall be posted in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Rust When paint on the equipment or toy is peeled and rusted, please remove the toy, remove the rust or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 861: Styrofoam Styrofoam products are not permitted in the classroom with children younger than three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1835: Medical Action Plan Medication action plan shall be annually renewed. Medical action plans can be filled out by a physician or the parent of the child. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Verner Central Center for Early Learning is in cohort three (3). Action plan: Action plans can be filled out either by a physician or the parent. Storage of confidential information: Per Federal review of DCDEE files, it was advised that each staff member’s confidential information should be stored separately. This requirement is relatively new; therefore, a violation was not cited during today’s visit for this item. Going forward, this will be cited as a violation. Staff and Training Worksheet: Please write expiration date of CPR and First Aid training on item 19 on Staff and Training Worksheet. Reminder: SW’s (LT, infant/toddler) ITS/SIDS training will expire on 3/26/24. JT (teacher, infant/toddler): This staff member completed health and safety training during 8/11/19 – 8/9/21. Typically, renewal of the training is based on the completion date of the previous training. However, this staff member completed the training during a two-year period. Since some of the training was completed nearly five (5) years ago, it is recommended that he/she completes the training again for the 5th year cycle prior to 8/11/24. Medication permission form for BG in space #9 will expire on 4/13/24. Medication permission form for LG in space #6 will expire on 4/18/24. The medication for WG in space #4 will expire in May 2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 47 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Anna Peterson, Administrator, accompanied me. 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 (80) percent as of 3/11/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 3/11/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/29/24. The last shelter-in-place drill was practiced on 1/31/24. The last playground inspection was documented on 2/14/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of one-year-old children were getting ready for breakfast. Today’s menu was Chex cereal, sliced pears and milk. Bananas were on the menu but corrected prior to serving children. One (1) teacher washed children’s hands, one (1) teacher served breakfast and one (1) teacher supervised children’s eating. There is no evacuation crib in this classroom. Per teachers, all children are walking. Diaper creams and medications were maintained, and the paperwork was current. Space #2 was closed during today’s visit due to the teacher’s absence. No hazardous materials were observed in the classroom. An action plan for an emergency medication maintained in this classroom was out of date. In space #3, a group of infants explored the environment. Some children rolled on the floor and mouthed materials. One (1) child was fed a bottle during the visit. Diaper cream and other medications were stored appropriately, and the forms were current. The facility is not currently using baby wearing devices, though they were stored in the classroom. Please develop a policy before you use them, including safe sleep procedures and teachers completing other tasks while carrying a baby. In space #4, a group of two-to-three-year-old children had breakfast. After breakfast, the children washed their hands and transitioned to free play. The children played with doctor’s kit, pretend food and other materials. Medications were stored appropriately, and the forms were current. In space #5, a group of two-to-three-year-old children engaged in free play. A child was attending stuffed animals using doctor’s kit. Other children played with light-up tables, water table, cardboard pieces and blocks. Medications were stored appropriately, and the forms were current. The children from space #6 played on the playground. The children rode riding toys, played with hula hoops and a balance beam. Teachers are positioned on opposite sides of the playground. One (1) of the children rode on a small bridge and slid backward. The riding toy’s tire got caught on the large rock, the child fell backwards and hit the back of the head on the rock. The child was taken inside, ice was applied or observed. No apparent injury was observed, and the child calmed down quickly. However, it is not recommended for the children to ride riding toys off the riding path for safety reasons. In space #7, a group of two-to-three-year-old children engaged in free play with pretend food, books, puzzles and other materials. Five-minutes warning was sand by the teachers and the children. Medications were stored appropriately, and the forms were current. In space #9, a group of three-to-five-year-old children engaged in free play. Some children attempted floor puzzles with teachers, and some children played a game with teachers in the housekeeping area. The children were actively engaged in the play. Medications were stored appropriately. One (1) of the medications’ action plan was expired. The new action plan was requested from the physician but has not been received. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. There is a BIG DIG in the sandbox on playground space #3. The paint on the tip of the shovel is peeled and rusted. There are no additional hazards observed. The sensory swing was discussed. The swing was used on the playground #3 but not currently. There is no age specification on the product page for the swing on Amazon.com. If the products are age-appropriate, it is advised to use over the mat or soft surfacing. If the products are not age-appropriate or no information on age is provided, you shall not use the product. Ten (10) new staff files and three (3) existing staff files were monitored in full. Ten (10) staff files were monitored for CPR/First Aid certificate. ABCMS system was monitored previously. Two (2) new staff members and one (1) staff member was monitored on ABCMS during the visit. Lunch was served during the visit. Today's lunch was burger, bans, roasted potatoes, peas, diced peaches and milk. Most classrooms have three (3) staff members. Supervision and interaction was adequate. Seven (7) children’s files were monitored. All files were in compliance. 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 monitoring tool was completed by Ms. Peterson on 10/30/23. Three (3) NC Pre-K children files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) infant's feeding plan was not posted in the classroom #3. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. the tip of the shovel on BIG DIG digger is peeled and rusted on playground #3. .0601(c) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Several pieces of styrofoam were in the water table in space #5. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An action plan for Albuterol in space #2 was not in file. An action plan for a child with an Epi-pen in space #9 expired on 2/1/24. .0801(b) Technical assistance was provided as follows: 540: Feeding plans Feeding plans for children at fifteen (15) months of age or younger shall be posted in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Rust When paint on the equipment or toy is peeled and rusted, please remove the toy, remove the rust or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 861: Styrofoam Styrofoam products are not permitted in the classroom with children younger than three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1835: Medical Action Plan Medication action plan shall be annually renewed. Medical action plans can be filled out by a physician or the parent of the child. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Verner Central Center for Early Learning is in cohort three (3). Action plan: Action plans can be filled out either by a physician or the parent. Storage of confidential information: Per Federal review of DCDEE files, it was advised that each staff member’s confidential information should be stored separately. This requirement is relatively new; therefore, a violation was not cited during today’s visit for this item. Going forward, this will be cited as a violation. Staff and Training Worksheet: Please write expiration date of CPR and First Aid training on item 19 on Staff and Training Worksheet. Reminder: SW’s (LT, infant/toddler) ITS/SIDS training will expire on 3/26/24. JT (teacher, infant/toddler): This staff member completed health and safety training during 8/11/19 – 8/9/21. Typically, renewal of the training is based on the completion date of the previous training. However, this staff member completed the training during a two-year period. Since some of the training was completed nearly five (5) years ago, it is recommended that he/she completes the training again for the 5th year cycle prior to 8/11/24. Medication permission form for BG in space #9 will expire on 4/13/24. Medication permission form for LG in space #6 will expire on 4/18/24. The medication for WG in space #4 will expire in May 2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: VERNER CENTRAL CENTER FOR EARLY LEARNING Facility ID: 11000931 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 47 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 380 Time In: 09:10 AM Time Out: 03:30 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 Kaoru Eddins, Child Care Consultant and also signed by Anna Peterson, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Anna Peterson, Administrator, accompanied me. 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 (80) percent as of 3/11/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Verner, is current/active as of 3/11/24. Permit type – Five-star center license issued on 10/25/22. Special Services/Restrictions – daytime care, meets enhanced ratios and space. The last annual compliance visit was conducted on 3/21/23. The last fire drill was practiced on 2/29/24. The last shelter-in-place drill was practiced on 1/31/24. The last playground inspection was documented on 2/14/24. The last fire inspection was approved on 4/4/23. The last sanitation inspection was conducted on 8/30/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. In space #1, a group of one-year-old children were getting ready for breakfast. Today’s menu was Chex cereal, sliced pears and milk. Bananas were on the menu but corrected prior to serving children. One (1) teacher washed children’s hands, one (1) teacher served breakfast and one (1) teacher supervised children’s eating. There is no evacuation crib in this classroom. Per teachers, all children are walking. Diaper creams and medications were maintained, and the paperwork was current. Space #2 was closed during today’s visit due to the teacher’s absence. No hazardous materials were observed in the classroom. An action plan for an emergency medication maintained in this classroom was out of date. In space #3, a group of infants explored the environment. Some children rolled on the floor and mouthed materials. One (1) child was fed a bottle during the visit. Diaper cream and other medications were stored appropriately, and the forms were current. The facility is not currently using baby wearing devices, though they were stored in the classroom. Please develop a policy before you use them, including safe sleep procedures and teachers completing other tasks while carrying a baby. In space #4, a group of two-to-three-year-old children had breakfast. After breakfast, the children washed their hands and transitioned to free play. The children played with doctor’s kit, pretend food and other materials. Medications were stored appropriately, and the forms were current. In space #5, a group of two-to-three-year-old children engaged in free play. A child was attending stuffed animals using doctor’s kit. Other children played with light-up tables, water table, cardboard pieces and blocks. Medications were stored appropriately, and the forms were current. The children from space #6 played on the playground. The children rode riding toys, played with hula hoops and a balance beam. Teachers are positioned on opposite sides of the playground. One (1) of the children rode on a small bridge and slid backward. The riding toy’s tire got caught on the large rock, the child fell backwards and hit the back of the head on the rock. The child was taken inside, ice was applied or observed. No apparent injury was observed, and the child calmed down quickly. However, it is not recommended for the children to ride riding toys off the riding path for safety reasons. In space #7, a group of two-to-three-year-old children engaged in free play with pretend food, books, puzzles and other materials. Five-minutes warning was sand by the teachers and the children. Medications were stored appropriately, and the forms were current. In space #9, a group of three-to-five-year-old children engaged in free play. Some children attempted floor puzzles with teachers, and some children played a game with teachers in the housekeeping area. The children were actively engaged in the play. Medications were stored appropriately. One (1) of the medications’ action plan was expired. The new action plan was requested from the physician but has not been received. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. There is a BIG DIG in the sandbox on playground space #3. The paint on the tip of the shovel is peeled and rusted. There are no additional hazards observed. The sensory swing was discussed. The swing was used on the playground #3 but not currently. There is no age specification on the product page for the swing on Amazon.com. If the products are age-appropriate, it is advised to use over the mat or soft surfacing. If the products are not age-appropriate or no information on age is provided, you shall not use the product. Ten (10) new staff files and three (3) existing staff files were monitored in full. Ten (10) staff files were monitored for CPR/First Aid certificate. ABCMS system was monitored previously. Two (2) new staff members and one (1) staff member was monitored on ABCMS during the visit. Lunch was served during the visit. Today's lunch was burger, bans, roasted potatoes, peas, diced peaches and milk. Most classrooms have three (3) staff members. Supervision and interaction was adequate. Seven (7) children’s files were monitored. All files were in compliance. 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 monitoring tool was completed by Ms. Peterson on 10/30/23. Three (3) NC Pre-K children files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence). Two (2) infant's feeding plan was not posted in the classroom #3. 10A NCAC 09 .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. the tip of the shovel on BIG DIG digger is peeled and rusted on playground #3. .0601(c) 861 Prohibited styrofoam and foam rubber products were accessible to children under 3 years of age and/or approved foam products were used without proper supervision. Several pieces of styrofoam were in the water table in space #5. .0604(q) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. An action plan for Albuterol in space #2 was not in file. An action plan for a child with an Epi-pen in space #9 expired on 2/1/24. .0801(b) Technical assistance was provided as follows: 540: Feeding plans Feeding plans for children at fifteen (15) months of age or younger shall be posted in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. 705: Rust When paint on the equipment or toy is peeled and rusted, please remove the toy, remove the rust or paint over the rust. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 861: Styrofoam Styrofoam products are not permitted in the classroom with children younger than three (3) years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. 1835: Medical Action Plan Medication action plan shall be annually renewed. Medical action plans can be filled out by a physician or the parent of the child. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/27/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: Verner Central Center for Early Learning is in cohort three (3). Action plan: Action plans can be filled out either by a physician or the parent. Storage of confidential information: Per Federal review of DCDEE files, it was advised that each staff member’s confidential information should be stored separately. This requirement is relatively new; therefore, a violation was not cited during today’s visit for this item. Going forward, this will be cited as a violation. Staff and Training Worksheet: Please write expiration date of CPR and First Aid training on item 19 on Staff and Training Worksheet. Reminder: SW’s (LT, infant/toddler) ITS/SIDS training will expire on 3/26/24. JT (teacher, infant/toddler): This staff member completed health and safety training during 8/11/19 – 8/9/21. Typically, renewal of the training is based on the completion date of the previous training. However, this staff member completed the training during a two-year period. Since some of the training was completed nearly five (5) years ago, it is recommended that he/she completes the training again for the 5th year cycle prior to 8/11/24. Medication permission form for BG in space #9 will expire on 4/13/24. Medication permission form for LG in space #6 will expire on 4/18/24. The medication for WG in space #4 will expire in May 2024. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times