10A NCAC 09 .1102 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/23/2025 Number Present: 42 Completed Date: 10/23/2025 Age: From 1 To 5 Total Minutes: 240 Time In: 11:00 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 this routine unannounced and technical assistance visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Rebecca Ayers, Executive Director for Intermountain Children’s Services since the previous administrator resigned her position. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I was greeted by the teachers, and I explained the reason for today’s visit. I observed the children from space #1, playing outside on the playground. In space #2, the children were returning from a field trip to the fire department. When they arrived back to their classroom, they washed hands and sat down for lunch. The children in space #3 were engrossed in free play in their classroom, exploring with a variety of materials. Lunch today consisted of taco soup, tortilla chips, salad, apple wedges and milk. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children`s Services, Inc., is current/active as 10/23/25. There were four (4) new teachers at this facility today, so I monitored those files. There are forty-four (44) children enrolled and forty-two (42) present today. No children’s files were monitored during today’s routine unannounced visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) as of 10/23/25. The last annual compliance visit was 5/21/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 2/20/19. Permit Restrictions- Daytime care only, meets enhanced space. The last fire drill was practiced on 10/13/25. A shelter-in-place/lock down drill was conducted on 5/23/25. The last playground inspection was on 10/153/25. The last fire inspection was on 6/11/25. The last sanitation inspection was completed on 5/4/25 with ten (10) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 10/18/23, without hazards. Lead paint testing was completed 2/27/25 and asbestos testing was completed on 8/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #3 a bottle of orange cleaner was out below five (5) feet and not locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down/shelter in place drill has not be conducted every three (3) months. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down/shelter in place drill has not be conducted every three (3) months. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *In space #3 a bottle of orange cleaner was out below five (5) feet and not locked. This was corrected during the visit. 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 November 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the Pathways to the Stars and the QRIS Modernization Plan. We discussed three (3) pathways, and we both think that pathway #1 might be the nest option for this afterschool program. • www.ncrlap.org has a lot of resources on it for the three-month self-study. • I urge you to visit the QRIS modernization page of our website under “what’s New” to find resources and forms. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • There is a Moodle Module for the new rule out that will explain the new rules in detail. • Programs can request and outreach assessment as a practice that will not be sent to the licensing consultant and will go straight to the program for review. This would be a great tool to use to target a three-month self-study. • We discussed that Pathway #3 is a direct pathway for Head Start programs. • We also discussed the issue of not having a set director since the previous one resigned. There is a Head Start memo that states that if a Head Start facility has four (4) or less classrooms, they can have an off-site administrator. We also discussed that the lead teacher in space #1 is qualified and could split her time to work the required 25 hours in the office and still work in her classroom until rest time three (3) days a week until a permanent decision is made for the position. 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. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1703 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/23/2025 Number Present: 42 Completed Date: 10/23/2025 Age: From 1 To 5 Total Minutes: 240 Time In: 11:00 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 this routine unannounced and technical assistance visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Rebecca Ayers, Executive Director for Intermountain Children’s Services since the previous administrator resigned her position. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I was greeted by the teachers, and I explained the reason for today’s visit. I observed the children from space #1, playing outside on the playground. In space #2, the children were returning from a field trip to the fire department. When they arrived back to their classroom, they washed hands and sat down for lunch. The children in space #3 were engrossed in free play in their classroom, exploring with a variety of materials. Lunch today consisted of taco soup, tortilla chips, salad, apple wedges and milk. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children`s Services, Inc., is current/active as 10/23/25. There were four (4) new teachers at this facility today, so I monitored those files. There are forty-four (44) children enrolled and forty-two (42) present today. No children’s files were monitored during today’s routine unannounced visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) as of 10/23/25. The last annual compliance visit was 5/21/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 2/20/19. Permit Restrictions- Daytime care only, meets enhanced space. The last fire drill was practiced on 10/13/25. A shelter-in-place/lock down drill was conducted on 5/23/25. The last playground inspection was on 10/153/25. The last fire inspection was on 6/11/25. The last sanitation inspection was completed on 5/4/25 with ten (10) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 10/18/23, without hazards. Lead paint testing was completed 2/27/25 and asbestos testing was completed on 8/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #3 a bottle of orange cleaner was out below five (5) feet and not locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down/shelter in place drill has not be conducted every three (3) months. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down/shelter in place drill has not be conducted every three (3) months. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *In space #3 a bottle of orange cleaner was out below five (5) feet and not locked. This was corrected during the visit. 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 November 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the Pathways to the Stars and the QRIS Modernization Plan. We discussed three (3) pathways, and we both think that pathway #1 might be the nest option for this afterschool program. • www.ncrlap.org has a lot of resources on it for the three-month self-study. • I urge you to visit the QRIS modernization page of our website under “what’s New” to find resources and forms. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • There is a Moodle Module for the new rule out that will explain the new rules in detail. • Programs can request and outreach assessment as a practice that will not be sent to the licensing consultant and will go straight to the program for review. This would be a great tool to use to target a three-month self-study. • We discussed that Pathway #3 is a direct pathway for Head Start programs. • We also discussed the issue of not having a set director since the previous one resigned. There is a Head Start memo that states that if a Head Start facility has four (4) or less classrooms, they can have an off-site administrator. We also discussed that the lead teacher in space #1 is qualified and could split her time to work the required 25 hours in the office and still work in her classroom until rest time three (3) days a week until a permanent decision is made for the position. 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. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/23/2025 Number Present: 42 Completed Date: 10/23/2025 Age: From 1 To 5 Total Minutes: 240 Time In: 11:00 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 this routine unannounced and technical assistance visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Rebecca Ayers, Executive Director for Intermountain Children’s Services since the previous administrator resigned her position. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I was greeted by the teachers, and I explained the reason for today’s visit. I observed the children from space #1, playing outside on the playground. In space #2, the children were returning from a field trip to the fire department. When they arrived back to their classroom, they washed hands and sat down for lunch. The children in space #3 were engrossed in free play in their classroom, exploring with a variety of materials. Lunch today consisted of taco soup, tortilla chips, salad, apple wedges and milk. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children`s Services, Inc., is current/active as 10/23/25. There were four (4) new teachers at this facility today, so I monitored those files. There are forty-four (44) children enrolled and forty-two (42) present today. No children’s files were monitored during today’s routine unannounced visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) as of 10/23/25. The last annual compliance visit was 5/21/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 2/20/19. Permit Restrictions- Daytime care only, meets enhanced space. The last fire drill was practiced on 10/13/25. A shelter-in-place/lock down drill was conducted on 5/23/25. The last playground inspection was on 10/153/25. The last fire inspection was on 6/11/25. The last sanitation inspection was completed on 5/4/25 with ten (10) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 10/18/23, without hazards. Lead paint testing was completed 2/27/25 and asbestos testing was completed on 8/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #3 a bottle of orange cleaner was out below five (5) feet and not locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down/shelter in place drill has not be conducted every three (3) months. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down/shelter in place drill has not be conducted every three (3) months. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *In space #3 a bottle of orange cleaner was out below five (5) feet and not locked. This was corrected during the visit. 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 November 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the Pathways to the Stars and the QRIS Modernization Plan. We discussed three (3) pathways, and we both think that pathway #1 might be the nest option for this afterschool program. • www.ncrlap.org has a lot of resources on it for the three-month self-study. • I urge you to visit the QRIS modernization page of our website under “what’s New” to find resources and forms. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • There is a Moodle Module for the new rule out that will explain the new rules in detail. • Programs can request and outreach assessment as a practice that will not be sent to the licensing consultant and will go straight to the program for review. This would be a great tool to use to target a three-month self-study. • We discussed that Pathway #3 is a direct pathway for Head Start programs. • We also discussed the issue of not having a set director since the previous one resigned. There is a Head Start memo that states that if a Head Start facility has four (4) or less classrooms, they can have an off-site administrator. We also discussed that the lead teacher in space #1 is qualified and could split her time to work the required 25 hours in the office and still work in her classroom until rest time three (3) days a week until a permanent decision is made for the position. 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. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 10/23/2025 Number Present: 42 Completed Date: 10/23/2025 Age: From 1 To 5 Total Minutes: 240 Time In: 11:00 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 this routine unannounced and technical assistance visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Rebecca Ayers, Executive Director for Intermountain Children’s Services since the previous administrator resigned her position. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I was greeted by the teachers, and I explained the reason for today’s visit. I observed the children from space #1, playing outside on the playground. In space #2, the children were returning from a field trip to the fire department. When they arrived back to their classroom, they washed hands and sat down for lunch. The children in space #3 were engrossed in free play in their classroom, exploring with a variety of materials. Lunch today consisted of taco soup, tortilla chips, salad, apple wedges and milk. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children`s Services, Inc., is current/active as 10/23/25. There were four (4) new teachers at this facility today, so I monitored those files. There are forty-four (44) children enrolled and forty-two (42) present today. No children’s files were monitored during today’s routine unannounced visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88%) as of 10/23/25. The last annual compliance visit was 5/21/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 2/20/19. Permit Restrictions- Daytime care only, meets enhanced space. The last fire drill was practiced on 10/13/25. A shelter-in-place/lock down drill was conducted on 5/23/25. The last playground inspection was on 10/153/25. The last fire inspection was on 6/11/25. The last sanitation inspection was completed on 5/4/25 with ten (10) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 10/18/23, without hazards. Lead paint testing was completed 2/27/25 and asbestos testing was completed on 8/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #3 a bottle of orange cleaner was out below five (5) feet and not locked. .2820(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The lock down/shelter in place drill has not be conducted every three (3) months. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. *The lock down/shelter in place drill has not be conducted every three (3) months. Item #840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. *In space #3 a bottle of orange cleaner was out below five (5) feet and not locked. This was corrected during the visit. 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 November 5, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the Pathways to the Stars and the QRIS Modernization Plan. We discussed three (3) pathways, and we both think that pathway #1 might be the nest option for this afterschool program. • www.ncrlap.org has a lot of resources on it for the three-month self-study. • I urge you to visit the QRIS modernization page of our website under “what’s New” to find resources and forms. https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization • There is a Moodle Module for the new rule out that will explain the new rules in detail. • Programs can request and outreach assessment as a practice that will not be sent to the licensing consultant and will go straight to the program for review. This would be a great tool to use to target a three-month self-study. • We discussed that Pathway #3 is a direct pathway for Head Start programs. • We also discussed the issue of not having a set director since the previous one resigned. There is a Head Start memo that states that if a Head Start facility has four (4) or less classrooms, they can have an off-site administrator. We also discussed that the lead teacher in space #1 is qualified and could split her time to work the required 25 hours in the office and still work in her classroom until rest time three (3) days a week until a permanent decision is made for the position. 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. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 .1002 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0302 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 09.0607 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 09.1002 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 37 Completed Date: 5/21/2025 Age: From 1 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Courtney McMahan, Center Director, during the visit. A signed copy of the visit summary was left on-site with you. Courtney McMahan, Center Director, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 5/19/20205. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Intermountain Children’s Services, is current/active as of 5/19/2025. Permit type – Five (5) Star Rated License, issued 2/20/2019. Special Services/Restrictions – first shift, meets enhanced space, approved for NC Pre-K, Head Start, and transportation. The last annual compliance visit was conducted on 9/5/2024. The last fire drill was practiced on 4/29/2025. The next fire drill is due by 5/30/2025. The last lockdown drill was practiced on 3/24/2025. The next emergency drill is due by 5/30/2025. The last playground inspection was documented on 4/30/2025. The last fire inspection was approved on 6/18/2024. The last sanitation inspection was conducted on 2/4/2025 with ten (10) demerits for a superior classification. The last lead water testing was conducted on 10/18/2023. The next testing is due by 10/18/2026. The last lead paint testing was completed on 2/27/2025. No results are available for asbestos testing. The facility has submitted the enrollment information required for RTI and the survey is currently under review. RTI will reach out to the facility once it has been completed. We discussed that the facility will need to follow up with RTI to check on the status of the asbestos testing. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I introduced myself to Ms. McMahan, Center Director and explained the reason for my visit. During today’s visit, I conducted a walkthrough of the indoor and outdoor environment. Space #1, the group of three to four year old children were transitioning outdoors for gross motor play with bubbles. After gross motor play, the group transitioned indoors to wash hands and prepare for group time. Space #2, the group of three to four year old children were engaged in group time singing their graduation songs. After group time, the group prepared to go outside for gross motor play. Space #3, the group of one to two year old children were transitioning outdoors for gross motor play. Once outdoors, the group engaged in play with the balls, push toys, and dinosaurs. After outdoor time, the group transitioned indoors for routine diaper changes, group time, and lunch. Lunch today consisted of chicken salad, crackers, cucumbers, carrots, oranges, and milk. While monitoring the outdoor environment, I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. The back two (2) tires tread was low. We discussed that the bus will need to have two (2) new tires installed. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, the arrival and departure times were not maintained. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. I observed active ant mounds located on the back playground and the side playground. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. GS 110-91(6); .0605((i) 1123 All vehicles used to transport children were not free of hazards. The back two (2) tire treads were low. 10A NCAC 09 .1002(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. .0605(k)(1-4) Technical assistance was provided as follows: Item 125 In space #1, the arrival and departure times were not maintained. The Director corrected this during the visit. Rule Reference: 10A NCAC 09.0302(d)(4) Item 807 I observed active ant mounds located on the back playground and the side playground. We discussed to have the children play away from the area and contact an exterminator to treat the ant mounds. On the side playground I observed a hole at the base of the fence to the right of the swing measuring five and half (5 ½) inches. On the front playground I observed a hole at the base of the fence to the right of the tree measuring four and half (4 ½) inches. We discussed to fill in the hole so that a child’s arm or leg does not get stuck. Rule Reference: 10A NCAC 09.0607(a) Item 824 While measuring the fence height on the exterior perimeter of all three (3) playgrounds, the fence measured three (3) foot ten (10) inches. We discussed due to all the rain we have had this year dirt has built up at the base of the fence. The facility will need to pull the build up away from the base of the fence to give you the required four (4) foot fence height. Rule Reference: 10A NCAC 09.0605(i) Item 1123 The back two (2) tire treads were low. We discussed that the bus will need to have two (2) new tires installed. Rule Reference: 10A NCAC 09.1002(a) Item 1867 On the back playground the mulch around the climber measured three (3) to four (4) inches at the slide exits and fall zones. We discussed tilling the compacted mulch underneath the loose mulch to help and to rake loose mulch from the barriers to the slide exits and fall zones to give you the required six (6) inches. Rule Reference: 10A NCAC 09.0605(k)(1-4) 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 6/5/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Reminder- The majority of the staff members First Aid and CPR recertification is due between June and August 2025. You stated that the training is scheduled for May 28, 2025. 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. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0902 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/5/2024 Number Present: 33 Completed Date: 9/5/2024 Age: From 1 To 4 Total Minutes: 305 Time In: 10:25 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 me, Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to you and center administrator, Rebecca Church. Ms. Sanchez was available to assist me during today’s 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. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 9/5/24. This facility is operated by Intermountain Children’s Services Head Start, Inc. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit corporation, is current/active as of 9/5/24. Permit type – Five-star license, issue February 20, 2019. Special Services/Restrictions – Daytime care only, meets enhanced space. The last annual compliance visit was conducted on 9/13/23. The last fire drill was practiced on8/26/24. The last lock down drill was practiced on 8/29/24. The last playground inspection was documented on 8/23/24. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 8/16/24 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 Teaching Strategies Gold. Upon my arrival, I signed in as a visitor, announced myself to the center director and explained the reason for today’s visit. All three (3) classrooms were outside playing on the playground so I went out to observe their activities. Children were engrossed in watered play. A teacher was helping them take turns with a timer so that everyone that wanted to play in water would get that opportunity. Other children were playing with balls, digging in the sandbox, pretend play cooking with food and dishes, climbing, sliding and riding on a variety of riding toys. On the playground with the younger children, one teacher was holding a sleeping child that was teething. Children were not as playful on in this area, as they are younger and they are still getting used to being away from mom and dad and learning to play with other children. Children were brought inside where they washed hands, got bathroom breaks, diapers changed and prepared for lunch. Lunch today consisted of peanut butter sandwich on whole wheat bread, carrot sticks, apple wedges and milk. After lunch children settled down on their cots with soft music for rest time. After rest time, they ate snack and went outside to play before dismissal. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport children ages 3 to 5 years of age children for pick up and drop off as well as field trips. I monitored the Thomas Build Bus today, tag # EBA 9159. 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). One child was under 15 months and did not have an infant feeding plan. 10A NCAC 09 .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A gutter mount was protruding on the playground for younger children. A screw was missing. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. GS 110-91(6); .0605((i) 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. There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. .2820(b) 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. The classroom for children under three years of age had plastic bags of diapers in the bathroom. .0604(q) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. .0701(a) Technical assistance was provided as follows: Item #.1033 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: All staff, including the director and individuals who volunteer more than once per week. Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. On or before first day of work. Note: Staff member HB, had a TB screening form filled out, but it wasn’t signed by a health care professional. Item #.807 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Note: A gutter mount was protruding on the playground for younger children. A screw was missing. Item # .840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: There was hand sanitizer and air freshener that says “keep out of reach of children”, on the bus lower than 5 feet. Item #.824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: In one area, a sandbox was against the fence causing it to be less than the required 4 feet high. Item # .540 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. Note: One child was under 15 months and did not have an infant feeding plan. Item # .858 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. Note: The classroom for children under three years of age had plastic bags of diapers in the bathroom. 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 9/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed going to the North Carolina Child Care Health and Safety Resource Center, https://healthychildcare.unc.edu/ and contact Rachel Lentz, MPH, CCHC, Regional Child Care Health Consultant, 828-544-1532, for information on teething and the standing diaper changes. • We discussed that you are in cohort 2 for the star rated license renewal. Go to https://ncrlap.org/ for more information. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 36 Completed Date: 3/7/2024 Age: From 2 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Intermountain Children’s Services Head Start, operates with a Five (5) Star Rated License issued on 2/20/2019. Bety Sanchez, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 9/13/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions All three (3) classrooms were outside playing on the playground. Groups #1 and #2, ages three through five years, were in one space. Children were playing on the climbers, in the sandbox, playing in the kitchen area, riding tikes, engaged in water play with boats and playing hide and seek with a teachers. Group #3, ages two and three was on a separate playground and all of the children were playing in the sandbox together. Inside I monitored three (3) classrooms. All classrooms were clean and well stocked with activities and materials for a variety of play. All classrooms had current postings including activity plans and schedules. After playing outside, children came inside to prepare for lunch and rest time. During rest time, cots were spaced appropriately, and teachers were rubbing children’s backs to assist them in resting their bodies. Soft music was also playing to make the environment calming and relaxing. All caregiving interactions were positive and nurturing. Lunch today consisted of vegetable stir fry with chicken, brown rice, tropical fruit and milk. There has been (3) new staff hired since the last annual compliance visit. Those files were monitored during today’s visit. Fire drill was monitored during today’s visit on 2/13/24. The last emergency drill, lock down drill, was practiced on 1/25/24. The last fire inspection was approved 7/20/23. The program’s most recent sanitation inspection was completed on 1/5/24, with four (4) demerits. The Emergency Preparedness and Response plan is current as of 8/17/23. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item 0858 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. Note: In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. The drawers and doors have safety latches on them. The approved locking mechanisms are lock/key, combination lock or magnetic lock. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • Ensuring the emergency drills are three (3) months apart. Try putting a reminder in your phone. • Assure that all plastic materials or small choking hazards are removed or above five (5) feet in classrooms with children under three years of age. The magnetic locks may be easier and less of a hassle for teachers. 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 me, 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 36 Completed Date: 3/7/2024 Age: From 2 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Intermountain Children’s Services Head Start, operates with a Five (5) Star Rated License issued on 2/20/2019. Bety Sanchez, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 9/13/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions All three (3) classrooms were outside playing on the playground. Groups #1 and #2, ages three through five years, were in one space. Children were playing on the climbers, in the sandbox, playing in the kitchen area, riding tikes, engaged in water play with boats and playing hide and seek with a teachers. Group #3, ages two and three was on a separate playground and all of the children were playing in the sandbox together. Inside I monitored three (3) classrooms. All classrooms were clean and well stocked with activities and materials for a variety of play. All classrooms had current postings including activity plans and schedules. After playing outside, children came inside to prepare for lunch and rest time. During rest time, cots were spaced appropriately, and teachers were rubbing children’s backs to assist them in resting their bodies. Soft music was also playing to make the environment calming and relaxing. All caregiving interactions were positive and nurturing. Lunch today consisted of vegetable stir fry with chicken, brown rice, tropical fruit and milk. There has been (3) new staff hired since the last annual compliance visit. Those files were monitored during today’s visit. Fire drill was monitored during today’s visit on 2/13/24. The last emergency drill, lock down drill, was practiced on 1/25/24. The last fire inspection was approved 7/20/23. The program’s most recent sanitation inspection was completed on 1/5/24, with four (4) demerits. The Emergency Preparedness and Response plan is current as of 8/17/23. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item 0858 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. Note: In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. The drawers and doors have safety latches on them. The approved locking mechanisms are lock/key, combination lock or magnetic lock. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • Ensuring the emergency drills are three (3) months apart. Try putting a reminder in your phone. • Assure that all plastic materials or small choking hazards are removed or above five (5) feet in classrooms with children under three years of age. The magnetic locks may be easier and less of a hassle for teachers. 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 me, 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 36 Completed Date: 3/7/2024 Age: From 2 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Intermountain Children’s Services Head Start, operates with a Five (5) Star Rated License issued on 2/20/2019. Bety Sanchez, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 9/13/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions All three (3) classrooms were outside playing on the playground. Groups #1 and #2, ages three through five years, were in one space. Children were playing on the climbers, in the sandbox, playing in the kitchen area, riding tikes, engaged in water play with boats and playing hide and seek with a teachers. Group #3, ages two and three was on a separate playground and all of the children were playing in the sandbox together. Inside I monitored three (3) classrooms. All classrooms were clean and well stocked with activities and materials for a variety of play. All classrooms had current postings including activity plans and schedules. After playing outside, children came inside to prepare for lunch and rest time. During rest time, cots were spaced appropriately, and teachers were rubbing children’s backs to assist them in resting their bodies. Soft music was also playing to make the environment calming and relaxing. All caregiving interactions were positive and nurturing. Lunch today consisted of vegetable stir fry with chicken, brown rice, tropical fruit and milk. There has been (3) new staff hired since the last annual compliance visit. Those files were monitored during today’s visit. Fire drill was monitored during today’s visit on 2/13/24. The last emergency drill, lock down drill, was practiced on 1/25/24. The last fire inspection was approved 7/20/23. The program’s most recent sanitation inspection was completed on 1/5/24, with four (4) demerits. The Emergency Preparedness and Response plan is current as of 8/17/23. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item 0858 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. Note: In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. The drawers and doors have safety latches on them. The approved locking mechanisms are lock/key, combination lock or magnetic lock. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • Ensuring the emergency drills are three (3) months apart. Try putting a reminder in your phone. • Assure that all plastic materials or small choking hazards are removed or above five (5) feet in classrooms with children under three years of age. The magnetic locks may be easier and less of a hassle for teachers. 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 me, 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 36 Completed Date: 3/7/2024 Age: From 2 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Intermountain Children’s Services Head Start, operates with a Five (5) Star Rated License issued on 2/20/2019. Bety Sanchez, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 9/13/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions All three (3) classrooms were outside playing on the playground. Groups #1 and #2, ages three through five years, were in one space. Children were playing on the climbers, in the sandbox, playing in the kitchen area, riding tikes, engaged in water play with boats and playing hide and seek with a teachers. Group #3, ages two and three was on a separate playground and all of the children were playing in the sandbox together. Inside I monitored three (3) classrooms. All classrooms were clean and well stocked with activities and materials for a variety of play. All classrooms had current postings including activity plans and schedules. After playing outside, children came inside to prepare for lunch and rest time. During rest time, cots were spaced appropriately, and teachers were rubbing children’s backs to assist them in resting their bodies. Soft music was also playing to make the environment calming and relaxing. All caregiving interactions were positive and nurturing. Lunch today consisted of vegetable stir fry with chicken, brown rice, tropical fruit and milk. There has been (3) new staff hired since the last annual compliance visit. Those files were monitored during today’s visit. Fire drill was monitored during today’s visit on 2/13/24. The last emergency drill, lock down drill, was practiced on 1/25/24. The last fire inspection was approved 7/20/23. The program’s most recent sanitation inspection was completed on 1/5/24, with four (4) demerits. The Emergency Preparedness and Response plan is current as of 8/17/23. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item 0858 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. Note: In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. The drawers and doors have safety latches on them. The approved locking mechanisms are lock/key, combination lock or magnetic lock. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • Ensuring the emergency drills are three (3) months apart. Try putting a reminder in your phone. • Assure that all plastic materials or small choking hazards are removed or above five (5) feet in classrooms with children under three years of age. The magnetic locks may be easier and less of a hassle for teachers. 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 me, 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 36 Completed Date: 3/7/2024 Age: From 2 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Intermountain Children’s Services Head Start, operates with a Five (5) Star Rated License issued on 2/20/2019. Bety Sanchez, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 9/13/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions All three (3) classrooms were outside playing on the playground. Groups #1 and #2, ages three through five years, were in one space. Children were playing on the climbers, in the sandbox, playing in the kitchen area, riding tikes, engaged in water play with boats and playing hide and seek with a teachers. Group #3, ages two and three was on a separate playground and all of the children were playing in the sandbox together. Inside I monitored three (3) classrooms. All classrooms were clean and well stocked with activities and materials for a variety of play. All classrooms had current postings including activity plans and schedules. After playing outside, children came inside to prepare for lunch and rest time. During rest time, cots were spaced appropriately, and teachers were rubbing children’s backs to assist them in resting their bodies. Soft music was also playing to make the environment calming and relaxing. All caregiving interactions were positive and nurturing. Lunch today consisted of vegetable stir fry with chicken, brown rice, tropical fruit and milk. There has been (3) new staff hired since the last annual compliance visit. Those files were monitored during today’s visit. Fire drill was monitored during today’s visit on 2/13/24. The last emergency drill, lock down drill, was practiced on 1/25/24. The last fire inspection was approved 7/20/23. The program’s most recent sanitation inspection was completed on 1/5/24, with four (4) demerits. The Emergency Preparedness and Response plan is current as of 8/17/23. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item 0858 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. Note: In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. The drawers and doors have safety latches on them. The approved locking mechanisms are lock/key, combination lock or magnetic lock. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • Ensuring the emergency drills are three (3) months apart. Try putting a reminder in your phone. • Assure that all plastic materials or small choking hazards are removed or above five (5) feet in classrooms with children under three years of age. The magnetic locks may be easier and less of a hassle for teachers. 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 me, 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 36 Completed Date: 3/7/2024 Age: From 2 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Intermountain Children’s Services Head Start, operates with a Five (5) Star Rated License issued on 2/20/2019. Bety Sanchez, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 9/13/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions All three (3) classrooms were outside playing on the playground. Groups #1 and #2, ages three through five years, were in one space. Children were playing on the climbers, in the sandbox, playing in the kitchen area, riding tikes, engaged in water play with boats and playing hide and seek with a teachers. Group #3, ages two and three was on a separate playground and all of the children were playing in the sandbox together. Inside I monitored three (3) classrooms. All classrooms were clean and well stocked with activities and materials for a variety of play. All classrooms had current postings including activity plans and schedules. After playing outside, children came inside to prepare for lunch and rest time. During rest time, cots were spaced appropriately, and teachers were rubbing children’s backs to assist them in resting their bodies. Soft music was also playing to make the environment calming and relaxing. All caregiving interactions were positive and nurturing. Lunch today consisted of vegetable stir fry with chicken, brown rice, tropical fruit and milk. There has been (3) new staff hired since the last annual compliance visit. Those files were monitored during today’s visit. Fire drill was monitored during today’s visit on 2/13/24. The last emergency drill, lock down drill, was practiced on 1/25/24. The last fire inspection was approved 7/20/23. The program’s most recent sanitation inspection was completed on 1/5/24, with four (4) demerits. The Emergency Preparedness and Response plan is current as of 8/17/23. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item 0858 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. Note: In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. The drawers and doors have safety latches on them. The approved locking mechanisms are lock/key, combination lock or magnetic lock. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • Ensuring the emergency drills are three (3) months apart. Try putting a reminder in your phone. • Assure that all plastic materials or small choking hazards are removed or above five (5) feet in classrooms with children under three years of age. The magnetic locks may be easier and less of a hassle for teachers. 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 me, 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 36 Completed Date: 3/7/2024 Age: From 2 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Intermountain Children’s Services Head Start, operates with a Five (5) Star Rated License issued on 2/20/2019. Bety Sanchez, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 9/13/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions All three (3) classrooms were outside playing on the playground. Groups #1 and #2, ages three through five years, were in one space. Children were playing on the climbers, in the sandbox, playing in the kitchen area, riding tikes, engaged in water play with boats and playing hide and seek with a teachers. Group #3, ages two and three was on a separate playground and all of the children were playing in the sandbox together. Inside I monitored three (3) classrooms. All classrooms were clean and well stocked with activities and materials for a variety of play. All classrooms had current postings including activity plans and schedules. After playing outside, children came inside to prepare for lunch and rest time. During rest time, cots were spaced appropriately, and teachers were rubbing children’s backs to assist them in resting their bodies. Soft music was also playing to make the environment calming and relaxing. All caregiving interactions were positive and nurturing. Lunch today consisted of vegetable stir fry with chicken, brown rice, tropical fruit and milk. There has been (3) new staff hired since the last annual compliance visit. Those files were monitored during today’s visit. Fire drill was monitored during today’s visit on 2/13/24. The last emergency drill, lock down drill, was practiced on 1/25/24. The last fire inspection was approved 7/20/23. The program’s most recent sanitation inspection was completed on 1/5/24, with four (4) demerits. The Emergency Preparedness and Response plan is current as of 8/17/23. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item 0858 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. Note: In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. The drawers and doors have safety latches on them. The approved locking mechanisms are lock/key, combination lock or magnetic lock. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • Ensuring the emergency drills are three (3) months apart. Try putting a reminder in your phone. • Assure that all plastic materials or small choking hazards are removed or above five (5) feet in classrooms with children under three years of age. The magnetic locks may be easier and less of a hassle for teachers. 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 me, 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 36 Completed Date: 3/7/2024 Age: From 2 To 5 Total Minutes: 220 Time In: 10:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. Intermountain Children’s Services Head Start, operates with a Five (5) Star Rated License issued on 2/20/2019. Bety Sanchez, Administrator, was available to assist with questions. The program’s annual compliance visit was conducted on 9/13/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions All three (3) classrooms were outside playing on the playground. Groups #1 and #2, ages three through five years, were in one space. Children were playing on the climbers, in the sandbox, playing in the kitchen area, riding tikes, engaged in water play with boats and playing hide and seek with a teachers. Group #3, ages two and three was on a separate playground and all of the children were playing in the sandbox together. Inside I monitored three (3) classrooms. All classrooms were clean and well stocked with activities and materials for a variety of play. All classrooms had current postings including activity plans and schedules. After playing outside, children came inside to prepare for lunch and rest time. During rest time, cots were spaced appropriately, and teachers were rubbing children’s backs to assist them in resting their bodies. Soft music was also playing to make the environment calming and relaxing. All caregiving interactions were positive and nurturing. Lunch today consisted of vegetable stir fry with chicken, brown rice, tropical fruit and milk. There has been (3) new staff hired since the last annual compliance visit. Those files were monitored during today’s visit. Fire drill was monitored during today’s visit on 2/13/24. The last emergency drill, lock down drill, was practiced on 1/25/24. The last fire inspection was approved 7/20/23. The program’s most recent sanitation inspection was completed on 1/5/24, with four (4) demerits. The Emergency Preparedness and Response plan is current as of 8/17/23. The Emergency Medical Care Plan is posted and current. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. .0604(u);.0302(d)(8) Technical Assistance for Correction Plan: Item 0858 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. Note: In the space #3 the two and three-year-old classroom, there was two drawers with a cabinet below that have plastic bags/materials in areas below five (5) feet. The drawers and doors have safety latches on them. The approved locking mechanisms are lock/key, combination lock or magnetic lock. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: An emergency drill was conducted in August 2023 and in January 2024, which is five (5) months apart instead of the required three (3) months. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/21/24. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: • Ensuring the emergency drills are three (3) months apart. Try putting a reminder in your phone. • Assure that all plastic materials or small choking hazards are removed or above five (5) feet in classrooms with children under three years of age. The magnetic locks may be easier and less of a hassle for teachers. 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 me, 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828-434-0236 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 2 To 5 Total Minutes: 330 Time In: 10:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was emailed) to you. Today, Ms. Sanchez, center director was working in a classroom, so she was limited on availability. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 09/13/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, for Intermountain Children’s Services, Inc., is current/active as of 09/13/23, however the registered agent needs to be updated to reflect the current program director. Permit type – Five (5) Star Rated License , issued on 02/20/2019. Special Services/Restrictions – First (1st) shift daytime care, meets enhanced space. The last annual compliance visit was conducted on 09/26/22. The last fire drill was practiced on 08/28/23. The last shelter-in-place/lock down drill was practiced on 06/29/23. The last playground inspection was documented on 8/24/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 06/23/23 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 Teaching Strategies Gold. Upon arrival, I signed in and located the administrator, who was working as a teacher today in a classroom. I greeted her and explained the reason for today’s visit. I observed all three (3) groups of children during free play outside. Children were climbing, sliding, playing in the sandbox, riding on trikes and looking for spiders. Inside I observed each group after they came inside; washed hands, self-serve their lunch and prepare for rest time. Children in space #1, had a harder time settling for rest time today. They may have been excited for the upcoming birthday celebration that was after rest time today. All staff were engaged while actively supervising the children. I did hear some harsh words/voices from a teacher in space #1 during rest time today due to children not resting and getting loud. Lunch today consisted of sloppy joe with ground beef, whole grain buns, potato wedges, broccoli, tropical fruit and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not submitted within one week 10A NCAC 09 .0304(a) 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. Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. .2820(b) 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. In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During rest time a teacher was heard talking to children in a harsh tone. G.S. 110-91(10) Technical assistance was provided as follows: Item #.106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: The fire inspection was not submitted within one week. This was corrected during the visit. Item #. 902 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (10) Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Each child care facility shall have a written policy on discipline, describing the methods and practices used to discipline children enrolled in that facility. This written policy shall be discussed with, and a copy given to, each child's parent prior to the first time the child attends the facility. Subsequently, any change in discipline methods or practices shall be communicated in writing to the parents prior to the effective date of the change. Note: During rest time a teacher was heard talking to children in a harsh tone. Item #.840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. Item #. 858 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. Note: In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. 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 September 27, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Assure that the latch on the refrigerator in space #3 is repaired. • Assure that the original fire inspections are mailed to me within one week. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 2 To 5 Total Minutes: 330 Time In: 10:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was emailed) to you. Today, Ms. Sanchez, center director was working in a classroom, so she was limited on availability. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 09/13/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, for Intermountain Children’s Services, Inc., is current/active as of 09/13/23, however the registered agent needs to be updated to reflect the current program director. Permit type – Five (5) Star Rated License , issued on 02/20/2019. Special Services/Restrictions – First (1st) shift daytime care, meets enhanced space. The last annual compliance visit was conducted on 09/26/22. The last fire drill was practiced on 08/28/23. The last shelter-in-place/lock down drill was practiced on 06/29/23. The last playground inspection was documented on 8/24/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 06/23/23 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 Teaching Strategies Gold. Upon arrival, I signed in and located the administrator, who was working as a teacher today in a classroom. I greeted her and explained the reason for today’s visit. I observed all three (3) groups of children during free play outside. Children were climbing, sliding, playing in the sandbox, riding on trikes and looking for spiders. Inside I observed each group after they came inside; washed hands, self-serve their lunch and prepare for rest time. Children in space #1, had a harder time settling for rest time today. They may have been excited for the upcoming birthday celebration that was after rest time today. All staff were engaged while actively supervising the children. I did hear some harsh words/voices from a teacher in space #1 during rest time today due to children not resting and getting loud. Lunch today consisted of sloppy joe with ground beef, whole grain buns, potato wedges, broccoli, tropical fruit and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not submitted within one week 10A NCAC 09 .0304(a) 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. Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. .2820(b) 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. In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During rest time a teacher was heard talking to children in a harsh tone. G.S. 110-91(10) Technical assistance was provided as follows: Item #.106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: The fire inspection was not submitted within one week. This was corrected during the visit. Item #. 902 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (10) Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Each child care facility shall have a written policy on discipline, describing the methods and practices used to discipline children enrolled in that facility. This written policy shall be discussed with, and a copy given to, each child's parent prior to the first time the child attends the facility. Subsequently, any change in discipline methods or practices shall be communicated in writing to the parents prior to the effective date of the change. Note: During rest time a teacher was heard talking to children in a harsh tone. Item #.840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. Item #. 858 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. Note: In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. 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 September 27, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Assure that the latch on the refrigerator in space #3 is repaired. • Assure that the original fire inspections are mailed to me within one week. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 2 To 5 Total Minutes: 330 Time In: 10:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was emailed) to you. Today, Ms. Sanchez, center director was working in a classroom, so she was limited on availability. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 09/13/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, for Intermountain Children’s Services, Inc., is current/active as of 09/13/23, however the registered agent needs to be updated to reflect the current program director. Permit type – Five (5) Star Rated License , issued on 02/20/2019. Special Services/Restrictions – First (1st) shift daytime care, meets enhanced space. The last annual compliance visit was conducted on 09/26/22. The last fire drill was practiced on 08/28/23. The last shelter-in-place/lock down drill was practiced on 06/29/23. The last playground inspection was documented on 8/24/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 06/23/23 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 Teaching Strategies Gold. Upon arrival, I signed in and located the administrator, who was working as a teacher today in a classroom. I greeted her and explained the reason for today’s visit. I observed all three (3) groups of children during free play outside. Children were climbing, sliding, playing in the sandbox, riding on trikes and looking for spiders. Inside I observed each group after they came inside; washed hands, self-serve their lunch and prepare for rest time. Children in space #1, had a harder time settling for rest time today. They may have been excited for the upcoming birthday celebration that was after rest time today. All staff were engaged while actively supervising the children. I did hear some harsh words/voices from a teacher in space #1 during rest time today due to children not resting and getting loud. Lunch today consisted of sloppy joe with ground beef, whole grain buns, potato wedges, broccoli, tropical fruit and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not submitted within one week 10A NCAC 09 .0304(a) 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. Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. .2820(b) 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. In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During rest time a teacher was heard talking to children in a harsh tone. G.S. 110-91(10) Technical assistance was provided as follows: Item #.106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: The fire inspection was not submitted within one week. This was corrected during the visit. Item #. 902 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (10) Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Each child care facility shall have a written policy on discipline, describing the methods and practices used to discipline children enrolled in that facility. This written policy shall be discussed with, and a copy given to, each child's parent prior to the first time the child attends the facility. Subsequently, any change in discipline methods or practices shall be communicated in writing to the parents prior to the effective date of the change. Note: During rest time a teacher was heard talking to children in a harsh tone. Item #.840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. Item #. 858 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. Note: In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. 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 September 27, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Assure that the latch on the refrigerator in space #3 is repaired. • Assure that the original fire inspections are mailed to me within one week. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 2 To 5 Total Minutes: 330 Time In: 10:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was emailed) to you. Today, Ms. Sanchez, center director was working in a classroom, so she was limited on availability. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 09/13/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, for Intermountain Children’s Services, Inc., is current/active as of 09/13/23, however the registered agent needs to be updated to reflect the current program director. Permit type – Five (5) Star Rated License , issued on 02/20/2019. Special Services/Restrictions – First (1st) shift daytime care, meets enhanced space. The last annual compliance visit was conducted on 09/26/22. The last fire drill was practiced on 08/28/23. The last shelter-in-place/lock down drill was practiced on 06/29/23. The last playground inspection was documented on 8/24/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 06/23/23 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 Teaching Strategies Gold. Upon arrival, I signed in and located the administrator, who was working as a teacher today in a classroom. I greeted her and explained the reason for today’s visit. I observed all three (3) groups of children during free play outside. Children were climbing, sliding, playing in the sandbox, riding on trikes and looking for spiders. Inside I observed each group after they came inside; washed hands, self-serve their lunch and prepare for rest time. Children in space #1, had a harder time settling for rest time today. They may have been excited for the upcoming birthday celebration that was after rest time today. All staff were engaged while actively supervising the children. I did hear some harsh words/voices from a teacher in space #1 during rest time today due to children not resting and getting loud. Lunch today consisted of sloppy joe with ground beef, whole grain buns, potato wedges, broccoli, tropical fruit and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not submitted within one week 10A NCAC 09 .0304(a) 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. Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. .2820(b) 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. In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During rest time a teacher was heard talking to children in a harsh tone. G.S. 110-91(10) Technical assistance was provided as follows: Item #.106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: The fire inspection was not submitted within one week. This was corrected during the visit. Item #. 902 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (10) Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Each child care facility shall have a written policy on discipline, describing the methods and practices used to discipline children enrolled in that facility. This written policy shall be discussed with, and a copy given to, each child's parent prior to the first time the child attends the facility. Subsequently, any change in discipline methods or practices shall be communicated in writing to the parents prior to the effective date of the change. Note: During rest time a teacher was heard talking to children in a harsh tone. Item #.840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. Item #. 858 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. Note: In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. 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 September 27, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Assure that the latch on the refrigerator in space #3 is repaired. • Assure that the original fire inspections are mailed to me within one week. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 2 To 5 Total Minutes: 330 Time In: 10:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was emailed) to you. Today, Ms. Sanchez, center director was working in a classroom, so she was limited on availability. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 09/13/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, for Intermountain Children’s Services, Inc., is current/active as of 09/13/23, however the registered agent needs to be updated to reflect the current program director. Permit type – Five (5) Star Rated License , issued on 02/20/2019. Special Services/Restrictions – First (1st) shift daytime care, meets enhanced space. The last annual compliance visit was conducted on 09/26/22. The last fire drill was practiced on 08/28/23. The last shelter-in-place/lock down drill was practiced on 06/29/23. The last playground inspection was documented on 8/24/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 06/23/23 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 Teaching Strategies Gold. Upon arrival, I signed in and located the administrator, who was working as a teacher today in a classroom. I greeted her and explained the reason for today’s visit. I observed all three (3) groups of children during free play outside. Children were climbing, sliding, playing in the sandbox, riding on trikes and looking for spiders. Inside I observed each group after they came inside; washed hands, self-serve their lunch and prepare for rest time. Children in space #1, had a harder time settling for rest time today. They may have been excited for the upcoming birthday celebration that was after rest time today. All staff were engaged while actively supervising the children. I did hear some harsh words/voices from a teacher in space #1 during rest time today due to children not resting and getting loud. Lunch today consisted of sloppy joe with ground beef, whole grain buns, potato wedges, broccoli, tropical fruit and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not submitted within one week 10A NCAC 09 .0304(a) 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. Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. .2820(b) 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. In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During rest time a teacher was heard talking to children in a harsh tone. G.S. 110-91(10) Technical assistance was provided as follows: Item #.106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: The fire inspection was not submitted within one week. This was corrected during the visit. Item #. 902 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (10) Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Each child care facility shall have a written policy on discipline, describing the methods and practices used to discipline children enrolled in that facility. This written policy shall be discussed with, and a copy given to, each child's parent prior to the first time the child attends the facility. Subsequently, any change in discipline methods or practices shall be communicated in writing to the parents prior to the effective date of the change. Note: During rest time a teacher was heard talking to children in a harsh tone. Item #.840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. Item #. 858 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. Note: In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. 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 September 27, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Assure that the latch on the refrigerator in space #3 is repaired. • Assure that the original fire inspections are mailed to me within one week. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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. 110-91 · Violation

Name of Operation: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 2 To 5 Total Minutes: 330 Time In: 10:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was emailed) to you. Today, Ms. Sanchez, center director was working in a classroom, so she was limited on availability. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 09/13/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, for Intermountain Children’s Services, Inc., is current/active as of 09/13/23, however the registered agent needs to be updated to reflect the current program director. Permit type – Five (5) Star Rated License , issued on 02/20/2019. Special Services/Restrictions – First (1st) shift daytime care, meets enhanced space. The last annual compliance visit was conducted on 09/26/22. The last fire drill was practiced on 08/28/23. The last shelter-in-place/lock down drill was practiced on 06/29/23. The last playground inspection was documented on 8/24/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 06/23/23 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 Teaching Strategies Gold. Upon arrival, I signed in and located the administrator, who was working as a teacher today in a classroom. I greeted her and explained the reason for today’s visit. I observed all three (3) groups of children during free play outside. Children were climbing, sliding, playing in the sandbox, riding on trikes and looking for spiders. Inside I observed each group after they came inside; washed hands, self-serve their lunch and prepare for rest time. Children in space #1, had a harder time settling for rest time today. They may have been excited for the upcoming birthday celebration that was after rest time today. All staff were engaged while actively supervising the children. I did hear some harsh words/voices from a teacher in space #1 during rest time today due to children not resting and getting loud. Lunch today consisted of sloppy joe with ground beef, whole grain buns, potato wedges, broccoli, tropical fruit and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not submitted within one week 10A NCAC 09 .0304(a) 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. Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. .2820(b) 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. In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During rest time a teacher was heard talking to children in a harsh tone. G.S. 110-91(10) Technical assistance was provided as follows: Item #.106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: The fire inspection was not submitted within one week. This was corrected during the visit. Item #. 902 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (10) Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Each child care facility shall have a written policy on discipline, describing the methods and practices used to discipline children enrolled in that facility. This written policy shall be discussed with, and a copy given to, each child's parent prior to the first time the child attends the facility. Subsequently, any change in discipline methods or practices shall be communicated in writing to the parents prior to the effective date of the change. Note: During rest time a teacher was heard talking to children in a harsh tone. Item #.840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. Item #. 858 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. Note: In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. 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 September 27, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Assure that the latch on the refrigerator in space #3 is repaired. • Assure that the original fire inspections are mailed to me within one week. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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: INTERMOUNTAIN CHILDREN'S PLACE Facility ID: 61000057 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/13/2023 Number Present: 40 Completed Date: 9/13/2023 Age: From 2 To 5 Total Minutes: 330 Time In: 10:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Bety Sanchez, center director, during the visit. An electronic signed copy of the visit summary was emailed) to you. Today, Ms. Sanchez, center director was working in a classroom, so she was limited on availability. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 09/13/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, for Intermountain Children’s Services, Inc., is current/active as of 09/13/23, however the registered agent needs to be updated to reflect the current program director. Permit type – Five (5) Star Rated License , issued on 02/20/2019. Special Services/Restrictions – First (1st) shift daytime care, meets enhanced space. The last annual compliance visit was conducted on 09/26/22. The last fire drill was practiced on 08/28/23. The last shelter-in-place/lock down drill was practiced on 06/29/23. The last playground inspection was documented on 8/24/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 06/23/23 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 Teaching Strategies Gold. Upon arrival, I signed in and located the administrator, who was working as a teacher today in a classroom. I greeted her and explained the reason for today’s visit. I observed all three (3) groups of children during free play outside. Children were climbing, sliding, playing in the sandbox, riding on trikes and looking for spiders. Inside I observed each group after they came inside; washed hands, self-serve their lunch and prepare for rest time. Children in space #1, had a harder time settling for rest time today. They may have been excited for the upcoming birthday celebration that was after rest time today. All staff were engaged while actively supervising the children. I did hear some harsh words/voices from a teacher in space #1 during rest time today due to children not resting and getting loud. Lunch today consisted of sloppy joe with ground beef, whole grain buns, potato wedges, broccoli, tropical fruit and milk. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was not submitted within one week 10A NCAC 09 .0304(a) 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. Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. .2820(b) 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. In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. .0604(q) 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. During rest time a teacher was heard talking to children in a harsh tone. G.S. 110-91(10) Technical assistance was provided as follows: Item #.106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. Note: The fire inspection was not submitted within one week. This was corrected during the visit. Item #. 902 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (10) Each operator or staff member shall attend to any child in a nurturing and appropriate manner, and in keeping with the child's developmental needs. Each child care facility shall have a written policy on discipline, describing the methods and practices used to discipline children enrolled in that facility. This written policy shall be discussed with, and a copy given to, each child's parent prior to the first time the child attends the facility. Subsequently, any change in discipline methods or practices shall be communicated in writing to the parents prior to the effective date of the change. Note: During rest time a teacher was heard talking to children in a harsh tone. Item #.840 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keys and electronic or magnetic unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any other product that is labeled "keep out of reach of children" and does not have any other warnings on the label shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. For the purpose of Paragraphs (b), (c), and (d) of this Rule, a product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. Note: Cleaning supplies were in the top of a closet in classroom #3 and the lock on the door is not an approved lock. Item #. 858 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. Note: In classroom #3, there were plastic material in the drawers with a child latch attached but not locked. 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 September 27, 2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Assure that the latch on the refrigerator in space #3 is repaired. • Assure that the original fire inspections are mailed to me within one week. 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 lee.marshall@dhhs.nc.gov or 828.434.0236, 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