10A NCAC 09 .0604 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 24 Completed Date: 12/13/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 10:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Cynthia Stamey, lead teacher in charge, during the visit. Tammy Odom, administrator, was not on site today until the end of my visit. An electronic signed copy of the visit summary was emailed to you. Today, lead teachers Cynthia Stamey and Tammy Shook assisted me in during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percentage as of 12/12/24. This facility is a combination child care program and Head Start Program operated by operated by Intermountain Children’s Services. The North Carolina Secretary of State website was viewed prior to today’s visit and the Nonprofit Corporation, INC , is current/active as Intermountain Children`s Services, Inc. as of 12/12/24. Permit type – Five Star license issued July 12, 2018. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/25/24. The last lock down drill practiced on 9/27/24. The last playground inspection was documented on 10/29/24. A November inspection was not located. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 5/22/24 with zero (0) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 8/23/24. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I signed in on the visitors log and greeted the lead teachers in each classroom. The administrator, Tammy Odom, was not present during today’s visit until the end of the visit.. I washed my hands and proceeded to visit each classroom to observe. In space #1, children were in all sitting in group time learning about Christmas in Italy and how gifts are left inside your shoes. The children were given small gifts by their teacher to put in a friend’s shoes when they weren’t looking. They also had story time and practiced singing Christmas songs that they were going to sing on a field trip on Monday to a nursing home. In space #2 children were preparing for lunch by changing into old clothes since it is one of the messier lunches. Children then played with puzzles and looked at books while waiting for lunch. In space #3, children were playing with a variety of classroom materials during free play. The teacher for this classroom was not working today, so the floater was working in the classroom today. After lunch children prepared for rest time and rested on their cots while teachers helped them to relax. Lunch today was vegetable beef soup, peanut butter sandwich, orange slices 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 program does provide transportation. You stated that you do transport children ages three (3) to five (5) years old for morning and evening bus routes. I monitored one (1) vehicle today. A Thomas Built Bus Tag # ZWF-4604, expiring August 2025. The following violations were documented during today’s visit: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There were broken bins and toys on the playground that need to be removed. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection wasn’t conducted in November. .0605(q) Technical assistance was provided as follows: Items #.856 & #.858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. (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. *In space #3, there was diapers stored in plastic and lower than 5 feet/unlocked. *This can be locked with a lock and key, combination lock or a magnetic lock. I think the magnetic lock is easier to use and less cumbersome for the teacher. *There were broken bins and toys on the playground that need to be removed. Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. *A playground inspection wasn’t conducted in November. 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 A compliance statement is due on or before December 27, 2024. The Administrator is not allowed to be on-site during child care operating hours without a qualifying criminal background check. 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. 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. Consultation is provided as follows: • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. • We discussed that the Environmental Rating Scales 3rd edition will go into effect February 1, 2025. There are trainings on NCRLAP that will be a great help. • We discussed that a few of the bolts along the boarder of the mulch area is working their way up and need to be hammered back down. 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 .0304 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 24 Completed Date: 12/13/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 10:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Cynthia Stamey, lead teacher in charge, during the visit. Tammy Odom, administrator, was not on site today until the end of my visit. An electronic signed copy of the visit summary was emailed to you. Today, lead teachers Cynthia Stamey and Tammy Shook assisted me in during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percentage as of 12/12/24. This facility is a combination child care program and Head Start Program operated by operated by Intermountain Children’s Services. The North Carolina Secretary of State website was viewed prior to today’s visit and the Nonprofit Corporation, INC , is current/active as Intermountain Children`s Services, Inc. as of 12/12/24. Permit type – Five Star license issued July 12, 2018. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/25/24. The last lock down drill practiced on 9/27/24. The last playground inspection was documented on 10/29/24. A November inspection was not located. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 5/22/24 with zero (0) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 8/23/24. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I signed in on the visitors log and greeted the lead teachers in each classroom. The administrator, Tammy Odom, was not present during today’s visit until the end of the visit.. I washed my hands and proceeded to visit each classroom to observe. In space #1, children were in all sitting in group time learning about Christmas in Italy and how gifts are left inside your shoes. The children were given small gifts by their teacher to put in a friend’s shoes when they weren’t looking. They also had story time and practiced singing Christmas songs that they were going to sing on a field trip on Monday to a nursing home. In space #2 children were preparing for lunch by changing into old clothes since it is one of the messier lunches. Children then played with puzzles and looked at books while waiting for lunch. In space #3, children were playing with a variety of classroom materials during free play. The teacher for this classroom was not working today, so the floater was working in the classroom today. After lunch children prepared for rest time and rested on their cots while teachers helped them to relax. Lunch today was vegetable beef soup, peanut butter sandwich, orange slices 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 program does provide transportation. You stated that you do transport children ages three (3) to five (5) years old for morning and evening bus routes. I monitored one (1) vehicle today. A Thomas Built Bus Tag # ZWF-4604, expiring August 2025. The following violations were documented during today’s visit: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There were broken bins and toys on the playground that need to be removed. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection wasn’t conducted in November. .0605(q) Technical assistance was provided as follows: Items #.856 & #.858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. (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. *In space #3, there was diapers stored in plastic and lower than 5 feet/unlocked. *This can be locked with a lock and key, combination lock or a magnetic lock. I think the magnetic lock is easier to use and less cumbersome for the teacher. *There were broken bins and toys on the playground that need to be removed. Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. *A playground inspection wasn’t conducted in November. 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 A compliance statement is due on or before December 27, 2024. The Administrator is not allowed to be on-site during child care operating hours without a qualifying criminal background check. 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. 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. Consultation is provided as follows: • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. • We discussed that the Environmental Rating Scales 3rd edition will go into effect February 1, 2025. There are trainings on NCRLAP that will be a great help. • We discussed that a few of the bolts along the boarder of the mulch area is working their way up and need to be hammered back down. 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 .0604 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 24 Completed Date: 12/13/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 10:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Cynthia Stamey, lead teacher in charge, during the visit. Tammy Odom, administrator, was not on site today until the end of my visit. An electronic signed copy of the visit summary was emailed to you. Today, lead teachers Cynthia Stamey and Tammy Shook assisted me in during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percentage as of 12/12/24. This facility is a combination child care program and Head Start Program operated by operated by Intermountain Children’s Services. The North Carolina Secretary of State website was viewed prior to today’s visit and the Nonprofit Corporation, INC , is current/active as Intermountain Children`s Services, Inc. as of 12/12/24. Permit type – Five Star license issued July 12, 2018. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/25/24. The last lock down drill practiced on 9/27/24. The last playground inspection was documented on 10/29/24. A November inspection was not located. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 5/22/24 with zero (0) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 8/23/24. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I signed in on the visitors log and greeted the lead teachers in each classroom. The administrator, Tammy Odom, was not present during today’s visit until the end of the visit.. I washed my hands and proceeded to visit each classroom to observe. In space #1, children were in all sitting in group time learning about Christmas in Italy and how gifts are left inside your shoes. The children were given small gifts by their teacher to put in a friend’s shoes when they weren’t looking. They also had story time and practiced singing Christmas songs that they were going to sing on a field trip on Monday to a nursing home. In space #2 children were preparing for lunch by changing into old clothes since it is one of the messier lunches. Children then played with puzzles and looked at books while waiting for lunch. In space #3, children were playing with a variety of classroom materials during free play. The teacher for this classroom was not working today, so the floater was working in the classroom today. After lunch children prepared for rest time and rested on their cots while teachers helped them to relax. Lunch today was vegetable beef soup, peanut butter sandwich, orange slices 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 program does provide transportation. You stated that you do transport children ages three (3) to five (5) years old for morning and evening bus routes. I monitored one (1) vehicle today. A Thomas Built Bus Tag # ZWF-4604, expiring August 2025. The following violations were documented during today’s visit: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There were broken bins and toys on the playground that need to be removed. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection wasn’t conducted in November. .0605(q) Technical assistance was provided as follows: Items #.856 & #.858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. (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. *In space #3, there was diapers stored in plastic and lower than 5 feet/unlocked. *This can be locked with a lock and key, combination lock or a magnetic lock. I think the magnetic lock is easier to use and less cumbersome for the teacher. *There were broken bins and toys on the playground that need to be removed. Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. *A playground inspection wasn’t conducted in November. 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 A compliance statement is due on or before December 27, 2024. The Administrator is not allowed to be on-site during child care operating hours without a qualifying criminal background check. 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. 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. Consultation is provided as follows: • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. • We discussed that the Environmental Rating Scales 3rd edition will go into effect February 1, 2025. There are trainings on NCRLAP that will be a great help. • We discussed that a few of the bolts along the boarder of the mulch area is working their way up and need to be hammered back down. 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 .0605 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 24 Completed Date: 12/13/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 10:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Cynthia Stamey, lead teacher in charge, during the visit. Tammy Odom, administrator, was not on site today until the end of my visit. An electronic signed copy of the visit summary was emailed to you. Today, lead teachers Cynthia Stamey and Tammy Shook assisted me in during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percentage as of 12/12/24. This facility is a combination child care program and Head Start Program operated by operated by Intermountain Children’s Services. The North Carolina Secretary of State website was viewed prior to today’s visit and the Nonprofit Corporation, INC , is current/active as Intermountain Children`s Services, Inc. as of 12/12/24. Permit type – Five Star license issued July 12, 2018. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/25/24. The last lock down drill practiced on 9/27/24. The last playground inspection was documented on 10/29/24. A November inspection was not located. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 5/22/24 with zero (0) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 8/23/24. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I signed in on the visitors log and greeted the lead teachers in each classroom. The administrator, Tammy Odom, was not present during today’s visit until the end of the visit.. I washed my hands and proceeded to visit each classroom to observe. In space #1, children were in all sitting in group time learning about Christmas in Italy and how gifts are left inside your shoes. The children were given small gifts by their teacher to put in a friend’s shoes when they weren’t looking. They also had story time and practiced singing Christmas songs that they were going to sing on a field trip on Monday to a nursing home. In space #2 children were preparing for lunch by changing into old clothes since it is one of the messier lunches. Children then played with puzzles and looked at books while waiting for lunch. In space #3, children were playing with a variety of classroom materials during free play. The teacher for this classroom was not working today, so the floater was working in the classroom today. After lunch children prepared for rest time and rested on their cots while teachers helped them to relax. Lunch today was vegetable beef soup, peanut butter sandwich, orange slices 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 program does provide transportation. You stated that you do transport children ages three (3) to five (5) years old for morning and evening bus routes. I monitored one (1) vehicle today. A Thomas Built Bus Tag # ZWF-4604, expiring August 2025. The following violations were documented during today’s visit: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There were broken bins and toys on the playground that need to be removed. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection wasn’t conducted in November. .0605(q) Technical assistance was provided as follows: Items #.856 & #.858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. (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. *In space #3, there was diapers stored in plastic and lower than 5 feet/unlocked. *This can be locked with a lock and key, combination lock or a magnetic lock. I think the magnetic lock is easier to use and less cumbersome for the teacher. *There were broken bins and toys on the playground that need to be removed. Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. *A playground inspection wasn’t conducted in November. 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 A compliance statement is due on or before December 27, 2024. The Administrator is not allowed to be on-site during child care operating hours without a qualifying criminal background check. 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. 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. Consultation is provided as follows: • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. • We discussed that the Environmental Rating Scales 3rd edition will go into effect February 1, 2025. There are trainings on NCRLAP that will be a great help. • We discussed that a few of the bolts along the boarder of the mulch area is working their way up and need to be hammered back down. 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 24 Completed Date: 12/13/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 10:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Cynthia Stamey, lead teacher in charge, during the visit. Tammy Odom, administrator, was not on site today until the end of my visit. An electronic signed copy of the visit summary was emailed to you. Today, lead teachers Cynthia Stamey and Tammy Shook assisted me in during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percentage as of 12/12/24. This facility is a combination child care program and Head Start Program operated by operated by Intermountain Children’s Services. The North Carolina Secretary of State website was viewed prior to today’s visit and the Nonprofit Corporation, INC , is current/active as Intermountain Children`s Services, Inc. as of 12/12/24. Permit type – Five Star license issued July 12, 2018. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/25/24. The last lock down drill practiced on 9/27/24. The last playground inspection was documented on 10/29/24. A November inspection was not located. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 5/22/24 with zero (0) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 8/23/24. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I signed in on the visitors log and greeted the lead teachers in each classroom. The administrator, Tammy Odom, was not present during today’s visit until the end of the visit.. I washed my hands and proceeded to visit each classroom to observe. In space #1, children were in all sitting in group time learning about Christmas in Italy and how gifts are left inside your shoes. The children were given small gifts by their teacher to put in a friend’s shoes when they weren’t looking. They also had story time and practiced singing Christmas songs that they were going to sing on a field trip on Monday to a nursing home. In space #2 children were preparing for lunch by changing into old clothes since it is one of the messier lunches. Children then played with puzzles and looked at books while waiting for lunch. In space #3, children were playing with a variety of classroom materials during free play. The teacher for this classroom was not working today, so the floater was working in the classroom today. After lunch children prepared for rest time and rested on their cots while teachers helped them to relax. Lunch today was vegetable beef soup, peanut butter sandwich, orange slices 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 program does provide transportation. You stated that you do transport children ages three (3) to five (5) years old for morning and evening bus routes. I monitored one (1) vehicle today. A Thomas Built Bus Tag # ZWF-4604, expiring August 2025. The following violations were documented during today’s visit: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There were broken bins and toys on the playground that need to be removed. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection wasn’t conducted in November. .0605(q) Technical assistance was provided as follows: Items #.856 & #.858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. (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. *In space #3, there was diapers stored in plastic and lower than 5 feet/unlocked. *This can be locked with a lock and key, combination lock or a magnetic lock. I think the magnetic lock is easier to use and less cumbersome for the teacher. *There were broken bins and toys on the playground that need to be removed. Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. *A playground inspection wasn’t conducted in November. 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 A compliance statement is due on or before December 27, 2024. The Administrator is not allowed to be on-site during child care operating hours without a qualifying criminal background check. 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. 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. Consultation is provided as follows: • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. • We discussed that the Environmental Rating Scales 3rd edition will go into effect February 1, 2025. There are trainings on NCRLAP that will be a great help. • We discussed that a few of the bolts along the boarder of the mulch area is working their way up and need to be hammered back down. 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 24 Completed Date: 12/13/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 10:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Cynthia Stamey, lead teacher in charge, during the visit. Tammy Odom, administrator, was not on site today until the end of my visit. An electronic signed copy of the visit summary was emailed to you. Today, lead teachers Cynthia Stamey and Tammy Shook assisted me in during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percentage as of 12/12/24. This facility is a combination child care program and Head Start Program operated by operated by Intermountain Children’s Services. The North Carolina Secretary of State website was viewed prior to today’s visit and the Nonprofit Corporation, INC , is current/active as Intermountain Children`s Services, Inc. as of 12/12/24. Permit type – Five Star license issued July 12, 2018. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/25/24. The last lock down drill practiced on 9/27/24. The last playground inspection was documented on 10/29/24. A November inspection was not located. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 5/22/24 with zero (0) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 8/23/24. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I signed in on the visitors log and greeted the lead teachers in each classroom. The administrator, Tammy Odom, was not present during today’s visit until the end of the visit.. I washed my hands and proceeded to visit each classroom to observe. In space #1, children were in all sitting in group time learning about Christmas in Italy and how gifts are left inside your shoes. The children were given small gifts by their teacher to put in a friend’s shoes when they weren’t looking. They also had story time and practiced singing Christmas songs that they were going to sing on a field trip on Monday to a nursing home. In space #2 children were preparing for lunch by changing into old clothes since it is one of the messier lunches. Children then played with puzzles and looked at books while waiting for lunch. In space #3, children were playing with a variety of classroom materials during free play. The teacher for this classroom was not working today, so the floater was working in the classroom today. After lunch children prepared for rest time and rested on their cots while teachers helped them to relax. Lunch today was vegetable beef soup, peanut butter sandwich, orange slices 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 program does provide transportation. You stated that you do transport children ages three (3) to five (5) years old for morning and evening bus routes. I monitored one (1) vehicle today. A Thomas Built Bus Tag # ZWF-4604, expiring August 2025. The following violations were documented during today’s visit: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There were broken bins and toys on the playground that need to be removed. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection wasn’t conducted in November. .0605(q) Technical assistance was provided as follows: Items #.856 & #.858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. (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. *In space #3, there was diapers stored in plastic and lower than 5 feet/unlocked. *This can be locked with a lock and key, combination lock or a magnetic lock. I think the magnetic lock is easier to use and less cumbersome for the teacher. *There were broken bins and toys on the playground that need to be removed. Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. *A playground inspection wasn’t conducted in November. 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 A compliance statement is due on or before December 27, 2024. The Administrator is not allowed to be on-site during child care operating hours without a qualifying criminal background check. 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. 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. Consultation is provided as follows: • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. • We discussed that the Environmental Rating Scales 3rd edition will go into effect February 1, 2025. There are trainings on NCRLAP that will be a great help. • We discussed that a few of the bolts along the boarder of the mulch area is working their way up and need to be hammered back down. 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 24 Completed Date: 12/13/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 10:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Cynthia Stamey, lead teacher in charge, during the visit. Tammy Odom, administrator, was not on site today until the end of my visit. An electronic signed copy of the visit summary was emailed to you. Today, lead teachers Cynthia Stamey and Tammy Shook assisted me in during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percentage as of 12/12/24. This facility is a combination child care program and Head Start Program operated by operated by Intermountain Children’s Services. The North Carolina Secretary of State website was viewed prior to today’s visit and the Nonprofit Corporation, INC , is current/active as Intermountain Children`s Services, Inc. as of 12/12/24. Permit type – Five Star license issued July 12, 2018. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/25/24. The last lock down drill practiced on 9/27/24. The last playground inspection was documented on 10/29/24. A November inspection was not located. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 5/22/24 with zero (0) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 8/23/24. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I signed in on the visitors log and greeted the lead teachers in each classroom. The administrator, Tammy Odom, was not present during today’s visit until the end of the visit.. I washed my hands and proceeded to visit each classroom to observe. In space #1, children were in all sitting in group time learning about Christmas in Italy and how gifts are left inside your shoes. The children were given small gifts by their teacher to put in a friend’s shoes when they weren’t looking. They also had story time and practiced singing Christmas songs that they were going to sing on a field trip on Monday to a nursing home. In space #2 children were preparing for lunch by changing into old clothes since it is one of the messier lunches. Children then played with puzzles and looked at books while waiting for lunch. In space #3, children were playing with a variety of classroom materials during free play. The teacher for this classroom was not working today, so the floater was working in the classroom today. After lunch children prepared for rest time and rested on their cots while teachers helped them to relax. Lunch today was vegetable beef soup, peanut butter sandwich, orange slices 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 program does provide transportation. You stated that you do transport children ages three (3) to five (5) years old for morning and evening bus routes. I monitored one (1) vehicle today. A Thomas Built Bus Tag # ZWF-4604, expiring August 2025. The following violations were documented during today’s visit: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There were broken bins and toys on the playground that need to be removed. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection wasn’t conducted in November. .0605(q) Technical assistance was provided as follows: Items #.856 & #.858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. (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. *In space #3, there was diapers stored in plastic and lower than 5 feet/unlocked. *This can be locked with a lock and key, combination lock or a magnetic lock. I think the magnetic lock is easier to use and less cumbersome for the teacher. *There were broken bins and toys on the playground that need to be removed. Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. *A playground inspection wasn’t conducted in November. 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 A compliance statement is due on or before December 27, 2024. The Administrator is not allowed to be on-site during child care operating hours without a qualifying criminal background check. 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. 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. Consultation is provided as follows: • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. • We discussed that the Environmental Rating Scales 3rd edition will go into effect February 1, 2025. There are trainings on NCRLAP that will be a great help. • We discussed that a few of the bolts along the boarder of the mulch area is working their way up and need to be hammered back down. 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. 110-90 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/13/2024 Number Present: 24 Completed Date: 12/13/2024 Age: From 1 To 5 Total Minutes: 300 Time In: 10:30 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 Georgia Lee Marshall, Child Care Consultant and also signed by Cynthia Stamey, lead teacher in charge, during the visit. Tammy Odom, administrator, was not on site today until the end of my visit. An electronic signed copy of the visit summary was emailed to you. Today, lead teachers Cynthia Stamey and Tammy Shook assisted me in during the visit. The indoor and outdoor areas were monitored today, including (but not limited to), supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93%) percentage as of 12/12/24. This facility is a combination child care program and Head Start Program operated by operated by Intermountain Children’s Services. The North Carolina Secretary of State website was viewed prior to today’s visit and the Nonprofit Corporation, INC , is current/active as Intermountain Children`s Services, Inc. as of 12/12/24. Permit type – Five Star license issued July 12, 2018. Special Services/Restrictions – Daytime care only, meets enhanced ratios and space. The last annual compliance visit was conducted on 12/14/23. The last fire drill was practiced on 11/25/24. The last lock down drill practiced on 9/27/24. The last playground inspection was documented on 10/29/24. A November inspection was not located. The last fire inspection was approved on 6/18/24. The last sanitation inspection was conducted on 5/22/24 with zero (0) demerits for a superior classification. The Emergency Preparedness and Response Plan was updated on 8/23/24. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon my arrival, I signed in on the visitors log and greeted the lead teachers in each classroom. The administrator, Tammy Odom, was not present during today’s visit until the end of the visit.. I washed my hands and proceeded to visit each classroom to observe. In space #1, children were in all sitting in group time learning about Christmas in Italy and how gifts are left inside your shoes. The children were given small gifts by their teacher to put in a friend’s shoes when they weren’t looking. They also had story time and practiced singing Christmas songs that they were going to sing on a field trip on Monday to a nursing home. In space #2 children were preparing for lunch by changing into old clothes since it is one of the messier lunches. Children then played with puzzles and looked at books while waiting for lunch. In space #3, children were playing with a variety of classroom materials during free play. The teacher for this classroom was not working today, so the floater was working in the classroom today. After lunch children prepared for rest time and rested on their cots while teachers helped them to relax. Lunch today was vegetable beef soup, peanut butter sandwich, orange slices 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 program does provide transportation. You stated that you do transport children ages three (3) to five (5) years old for morning and evening bus routes. I monitored one (1) vehicle today. A Thomas Built Bus Tag # ZWF-4604, expiring August 2025. The following violations were documented during today’s visit: Violation Number Comment Rule 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. There were broken bins and toys on the playground that need to be removed. 10A NCAC 09 .0604(p) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection wasn’t conducted in November. .0605(q) Technical assistance was provided as follows: Items #.856 & #.858 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (p) Once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. (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. *In space #3, there was diapers stored in plastic and lower than 5 feet/unlocked. *This can be locked with a lock and key, combination lock or a magnetic lock. I think the magnetic lock is easier to use and less cumbersome for the teacher. *There were broken bins and toys on the playground that need to be removed. Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. *A playground inspection wasn’t conducted in November. 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 A compliance statement is due on or before December 27, 2024. The Administrator is not allowed to be on-site during child care operating hours without a qualifying criminal background check. 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. 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. Consultation is provided as follows: • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. • We discussed that the Environmental Rating Scales 3rd edition will go into effect February 1, 2025. There are trainings on NCRLAP that will be a great help. • We discussed that a few of the bolts along the boarder of the mulch area is working their way up and need to be hammered back down. 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 .0304 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 21 Completed Date: 12/14/2023 Age: From 1 To 4 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with Tammy Odom, on-site administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Odom was available to answer questions, however she was cooking today due to low staff. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percentage (83%) as of 12/14/23. 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 of 12/14/23. Permit type – Five Star Licensed, issued July 12, 2018. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 01/06/23. The last fire drill was practiced on 12/05/23. The last shelter-in-place drill was practiced on 12/05/23. The last playground inspection was documented on 09/28/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 09/26/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum-teaching Strategies Gold. Upon arrival, I introduced myself to the on-site administrator and the purpose of today’s visit. When I arrived most of the children were having free play outside. They played on climbers, had sand play and other activities. The children in space #3 were listening to a Christmas music and waiting for lunch to arrive. The older children came inside, washed hands and prepared for lunch. Lunch today consisted of fish sticks, hush puppies, carrots, pineapples and milk. After lunch, the children prepared for rest time. When children got up from rest time, they put away rest material and had snack. Snack consisted of goldfish and fresh orange slices. Some Head Start children were picked up by parents, two (2) children rode the bus and three (3) went to wrap-around (which is in the Child Development Center). 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 ages three to five (3 to 5) years old. You stated that you transport and average of five (5) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4604. The registration was current through August 2024. Two (2) children files were monitored today. This facility is a child care facility with a Head Start component. The Head Start classroom operates from 8:00 a.m. to 2:30 p.m. Monday-Friday. The Child Development Center operates 7 a.m. to 5 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last Playground Safety Inspection found was from September 2023. .0605(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. KL had a TB screening on file, however it was not signed by a health care professional. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The first two weeks there wasn’t six (6) hours of orientation training for KL. .1101(a)(b) Technical assistance was provided as follows: Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: The last Playground Safety Inspection found was from September. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center. Note: The first two weeks there wasn’t six (6) hours of orientation training for KL. 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: 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. Note: KL had a TB screening on file, however it was not signed by a health care professional. 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 December 28, 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, 29698 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: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Today we went over the orientation form and how it is broken down into two sections with six (6) hours to be completed within the first two (2) weeks of employment. She stated that nobody had ever explained that to her before and now it make sense. • We discussed the playground safety checks and Ms. Odom is sure that they have been completed but she couldn’t locate them. • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. • To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Roan View Child Development Center is in cohort one (1). Tammy Odom, on-site Administrator has voluntarily elected to apply for a star rated license reassessment. Ms. Odom has elected to apply for the Preparation Year assessment through the NCRLAP. • Ms. Odom submitted the request for the Star Rated License Reassessment application to me during today’s visit. 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 .0605 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 21 Completed Date: 12/14/2023 Age: From 1 To 4 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with Tammy Odom, on-site administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Odom was available to answer questions, however she was cooking today due to low staff. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percentage (83%) as of 12/14/23. 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 of 12/14/23. Permit type – Five Star Licensed, issued July 12, 2018. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 01/06/23. The last fire drill was practiced on 12/05/23. The last shelter-in-place drill was practiced on 12/05/23. The last playground inspection was documented on 09/28/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 09/26/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum-teaching Strategies Gold. Upon arrival, I introduced myself to the on-site administrator and the purpose of today’s visit. When I arrived most of the children were having free play outside. They played on climbers, had sand play and other activities. The children in space #3 were listening to a Christmas music and waiting for lunch to arrive. The older children came inside, washed hands and prepared for lunch. Lunch today consisted of fish sticks, hush puppies, carrots, pineapples and milk. After lunch, the children prepared for rest time. When children got up from rest time, they put away rest material and had snack. Snack consisted of goldfish and fresh orange slices. Some Head Start children were picked up by parents, two (2) children rode the bus and three (3) went to wrap-around (which is in the Child Development Center). 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 ages three to five (3 to 5) years old. You stated that you transport and average of five (5) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4604. The registration was current through August 2024. Two (2) children files were monitored today. This facility is a child care facility with a Head Start component. The Head Start classroom operates from 8:00 a.m. to 2:30 p.m. Monday-Friday. The Child Development Center operates 7 a.m. to 5 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last Playground Safety Inspection found was from September 2023. .0605(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. KL had a TB screening on file, however it was not signed by a health care professional. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The first two weeks there wasn’t six (6) hours of orientation training for KL. .1101(a)(b) Technical assistance was provided as follows: Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: The last Playground Safety Inspection found was from September. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center. Note: The first two weeks there wasn’t six (6) hours of orientation training for KL. 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: 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. Note: KL had a TB screening on file, however it was not signed by a health care professional. 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 December 28, 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, 29698 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: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Today we went over the orientation form and how it is broken down into two sections with six (6) hours to be completed within the first two (2) weeks of employment. She stated that nobody had ever explained that to her before and now it make sense. • We discussed the playground safety checks and Ms. Odom is sure that they have been completed but she couldn’t locate them. • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. • To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Roan View Child Development Center is in cohort one (1). Tammy Odom, on-site Administrator has voluntarily elected to apply for a star rated license reassessment. Ms. Odom has elected to apply for the Preparation Year assessment through the NCRLAP. • Ms. Odom submitted the request for the Star Rated License Reassessment application to me during today’s visit. 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 .0701 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 21 Completed Date: 12/14/2023 Age: From 1 To 4 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with Tammy Odom, on-site administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Odom was available to answer questions, however she was cooking today due to low staff. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percentage (83%) as of 12/14/23. 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 of 12/14/23. Permit type – Five Star Licensed, issued July 12, 2018. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 01/06/23. The last fire drill was practiced on 12/05/23. The last shelter-in-place drill was practiced on 12/05/23. The last playground inspection was documented on 09/28/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 09/26/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum-teaching Strategies Gold. Upon arrival, I introduced myself to the on-site administrator and the purpose of today’s visit. When I arrived most of the children were having free play outside. They played on climbers, had sand play and other activities. The children in space #3 were listening to a Christmas music and waiting for lunch to arrive. The older children came inside, washed hands and prepared for lunch. Lunch today consisted of fish sticks, hush puppies, carrots, pineapples and milk. After lunch, the children prepared for rest time. When children got up from rest time, they put away rest material and had snack. Snack consisted of goldfish and fresh orange slices. Some Head Start children were picked up by parents, two (2) children rode the bus and three (3) went to wrap-around (which is in the Child Development Center). 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 ages three to five (3 to 5) years old. You stated that you transport and average of five (5) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4604. The registration was current through August 2024. Two (2) children files were monitored today. This facility is a child care facility with a Head Start component. The Head Start classroom operates from 8:00 a.m. to 2:30 p.m. Monday-Friday. The Child Development Center operates 7 a.m. to 5 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last Playground Safety Inspection found was from September 2023. .0605(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. KL had a TB screening on file, however it was not signed by a health care professional. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The first two weeks there wasn’t six (6) hours of orientation training for KL. .1101(a)(b) Technical assistance was provided as follows: Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: The last Playground Safety Inspection found was from September. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center. Note: The first two weeks there wasn’t six (6) hours of orientation training for KL. 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: 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. Note: KL had a TB screening on file, however it was not signed by a health care professional. 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 December 28, 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, 29698 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: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Today we went over the orientation form and how it is broken down into two sections with six (6) hours to be completed within the first two (2) weeks of employment. She stated that nobody had ever explained that to her before and now it make sense. • We discussed the playground safety checks and Ms. Odom is sure that they have been completed but she couldn’t locate them. • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. • To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Roan View Child Development Center is in cohort one (1). Tammy Odom, on-site Administrator has voluntarily elected to apply for a star rated license reassessment. Ms. Odom has elected to apply for the Preparation Year assessment through the NCRLAP. • Ms. Odom submitted the request for the Star Rated License Reassessment application to me during today’s visit. 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 .1101 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 21 Completed Date: 12/14/2023 Age: From 1 To 4 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with Tammy Odom, on-site administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Odom was available to answer questions, however she was cooking today due to low staff. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percentage (83%) as of 12/14/23. 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 of 12/14/23. Permit type – Five Star Licensed, issued July 12, 2018. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 01/06/23. The last fire drill was practiced on 12/05/23. The last shelter-in-place drill was practiced on 12/05/23. The last playground inspection was documented on 09/28/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 09/26/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum-teaching Strategies Gold. Upon arrival, I introduced myself to the on-site administrator and the purpose of today’s visit. When I arrived most of the children were having free play outside. They played on climbers, had sand play and other activities. The children in space #3 were listening to a Christmas music and waiting for lunch to arrive. The older children came inside, washed hands and prepared for lunch. Lunch today consisted of fish sticks, hush puppies, carrots, pineapples and milk. After lunch, the children prepared for rest time. When children got up from rest time, they put away rest material and had snack. Snack consisted of goldfish and fresh orange slices. Some Head Start children were picked up by parents, two (2) children rode the bus and three (3) went to wrap-around (which is in the Child Development Center). 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 ages three to five (3 to 5) years old. You stated that you transport and average of five (5) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4604. The registration was current through August 2024. Two (2) children files were monitored today. This facility is a child care facility with a Head Start component. The Head Start classroom operates from 8:00 a.m. to 2:30 p.m. Monday-Friday. The Child Development Center operates 7 a.m. to 5 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last Playground Safety Inspection found was from September 2023. .0605(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. KL had a TB screening on file, however it was not signed by a health care professional. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The first two weeks there wasn’t six (6) hours of orientation training for KL. .1101(a)(b) Technical assistance was provided as follows: Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: The last Playground Safety Inspection found was from September. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center. Note: The first two weeks there wasn’t six (6) hours of orientation training for KL. 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: 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. Note: KL had a TB screening on file, however it was not signed by a health care professional. 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 December 28, 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, 29698 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: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Today we went over the orientation form and how it is broken down into two sections with six (6) hours to be completed within the first two (2) weeks of employment. She stated that nobody had ever explained that to her before and now it make sense. • We discussed the playground safety checks and Ms. Odom is sure that they have been completed but she couldn’t locate them. • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. • To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Roan View Child Development Center is in cohort one (1). Tammy Odom, on-site Administrator has voluntarily elected to apply for a star rated license reassessment. Ms. Odom has elected to apply for the Preparation Year assessment through the NCRLAP. • Ms. Odom submitted the request for the Star Rated License Reassessment application to me during today’s visit. 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 21 Completed Date: 12/14/2023 Age: From 1 To 4 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with Tammy Odom, on-site administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Odom was available to answer questions, however she was cooking today due to low staff. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percentage (83%) as of 12/14/23. 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 of 12/14/23. Permit type – Five Star Licensed, issued July 12, 2018. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 01/06/23. The last fire drill was practiced on 12/05/23. The last shelter-in-place drill was practiced on 12/05/23. The last playground inspection was documented on 09/28/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 09/26/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum-teaching Strategies Gold. Upon arrival, I introduced myself to the on-site administrator and the purpose of today’s visit. When I arrived most of the children were having free play outside. They played on climbers, had sand play and other activities. The children in space #3 were listening to a Christmas music and waiting for lunch to arrive. The older children came inside, washed hands and prepared for lunch. Lunch today consisted of fish sticks, hush puppies, carrots, pineapples and milk. After lunch, the children prepared for rest time. When children got up from rest time, they put away rest material and had snack. Snack consisted of goldfish and fresh orange slices. Some Head Start children were picked up by parents, two (2) children rode the bus and three (3) went to wrap-around (which is in the Child Development Center). 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 ages three to five (3 to 5) years old. You stated that you transport and average of five (5) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4604. The registration was current through August 2024. Two (2) children files were monitored today. This facility is a child care facility with a Head Start component. The Head Start classroom operates from 8:00 a.m. to 2:30 p.m. Monday-Friday. The Child Development Center operates 7 a.m. to 5 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last Playground Safety Inspection found was from September 2023. .0605(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. KL had a TB screening on file, however it was not signed by a health care professional. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The first two weeks there wasn’t six (6) hours of orientation training for KL. .1101(a)(b) Technical assistance was provided as follows: Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: The last Playground Safety Inspection found was from September. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center. Note: The first two weeks there wasn’t six (6) hours of orientation training for KL. 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: 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. Note: KL had a TB screening on file, however it was not signed by a health care professional. 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 December 28, 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, 29698 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: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Today we went over the orientation form and how it is broken down into two sections with six (6) hours to be completed within the first two (2) weeks of employment. She stated that nobody had ever explained that to her before and now it make sense. • We discussed the playground safety checks and Ms. Odom is sure that they have been completed but she couldn’t locate them. • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. • To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Roan View Child Development Center is in cohort one (1). Tammy Odom, on-site Administrator has voluntarily elected to apply for a star rated license reassessment. Ms. Odom has elected to apply for the Preparation Year assessment through the NCRLAP. • Ms. Odom submitted the request for the Star Rated License Reassessment application to me during today’s visit. 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 21 Completed Date: 12/14/2023 Age: From 1 To 4 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with Tammy Odom, on-site administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Odom was available to answer questions, however she was cooking today due to low staff. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percentage (83%) as of 12/14/23. 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 of 12/14/23. Permit type – Five Star Licensed, issued July 12, 2018. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 01/06/23. The last fire drill was practiced on 12/05/23. The last shelter-in-place drill was practiced on 12/05/23. The last playground inspection was documented on 09/28/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 09/26/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum-teaching Strategies Gold. Upon arrival, I introduced myself to the on-site administrator and the purpose of today’s visit. When I arrived most of the children were having free play outside. They played on climbers, had sand play and other activities. The children in space #3 were listening to a Christmas music and waiting for lunch to arrive. The older children came inside, washed hands and prepared for lunch. Lunch today consisted of fish sticks, hush puppies, carrots, pineapples and milk. After lunch, the children prepared for rest time. When children got up from rest time, they put away rest material and had snack. Snack consisted of goldfish and fresh orange slices. Some Head Start children were picked up by parents, two (2) children rode the bus and three (3) went to wrap-around (which is in the Child Development Center). 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 ages three to five (3 to 5) years old. You stated that you transport and average of five (5) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4604. The registration was current through August 2024. Two (2) children files were monitored today. This facility is a child care facility with a Head Start component. The Head Start classroom operates from 8:00 a.m. to 2:30 p.m. Monday-Friday. The Child Development Center operates 7 a.m. to 5 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last Playground Safety Inspection found was from September 2023. .0605(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. KL had a TB screening on file, however it was not signed by a health care professional. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The first two weeks there wasn’t six (6) hours of orientation training for KL. .1101(a)(b) Technical assistance was provided as follows: Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: The last Playground Safety Inspection found was from September. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center. Note: The first two weeks there wasn’t six (6) hours of orientation training for KL. 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: 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. Note: KL had a TB screening on file, however it was not signed by a health care professional. 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 December 28, 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, 29698 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: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Today we went over the orientation form and how it is broken down into two sections with six (6) hours to be completed within the first two (2) weeks of employment. She stated that nobody had ever explained that to her before and now it make sense. • We discussed the playground safety checks and Ms. Odom is sure that they have been completed but she couldn’t locate them. • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. • To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Roan View Child Development Center is in cohort one (1). Tammy Odom, on-site Administrator has voluntarily elected to apply for a star rated license reassessment. Ms. Odom has elected to apply for the Preparation Year assessment through the NCRLAP. • Ms. Odom submitted the request for the Star Rated License Reassessment application to me during today’s visit. 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 21 Completed Date: 12/14/2023 Age: From 1 To 4 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with Tammy Odom, on-site administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Odom was available to answer questions, however she was cooking today due to low staff. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percentage (83%) as of 12/14/23. 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 of 12/14/23. Permit type – Five Star Licensed, issued July 12, 2018. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 01/06/23. The last fire drill was practiced on 12/05/23. The last shelter-in-place drill was practiced on 12/05/23. The last playground inspection was documented on 09/28/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 09/26/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum-teaching Strategies Gold. Upon arrival, I introduced myself to the on-site administrator and the purpose of today’s visit. When I arrived most of the children were having free play outside. They played on climbers, had sand play and other activities. The children in space #3 were listening to a Christmas music and waiting for lunch to arrive. The older children came inside, washed hands and prepared for lunch. Lunch today consisted of fish sticks, hush puppies, carrots, pineapples and milk. After lunch, the children prepared for rest time. When children got up from rest time, they put away rest material and had snack. Snack consisted of goldfish and fresh orange slices. Some Head Start children were picked up by parents, two (2) children rode the bus and three (3) went to wrap-around (which is in the Child Development Center). 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 ages three to five (3 to 5) years old. You stated that you transport and average of five (5) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4604. The registration was current through August 2024. Two (2) children files were monitored today. This facility is a child care facility with a Head Start component. The Head Start classroom operates from 8:00 a.m. to 2:30 p.m. Monday-Friday. The Child Development Center operates 7 a.m. to 5 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last Playground Safety Inspection found was from September 2023. .0605(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. KL had a TB screening on file, however it was not signed by a health care professional. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The first two weeks there wasn’t six (6) hours of orientation training for KL. .1101(a)(b) Technical assistance was provided as follows: Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: The last Playground Safety Inspection found was from September. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center. Note: The first two weeks there wasn’t six (6) hours of orientation training for KL. 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: 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. Note: KL had a TB screening on file, however it was not signed by a health care professional. 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 December 28, 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, 29698 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: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Today we went over the orientation form and how it is broken down into two sections with six (6) hours to be completed within the first two (2) weeks of employment. She stated that nobody had ever explained that to her before and now it make sense. • We discussed the playground safety checks and Ms. Odom is sure that they have been completed but she couldn’t locate them. • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. • To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Roan View Child Development Center is in cohort one (1). Tammy Odom, on-site Administrator has voluntarily elected to apply for a star rated license reassessment. Ms. Odom has elected to apply for the Preparation Year assessment through the NCRLAP. • Ms. Odom submitted the request for the Star Rated License Reassessment application to me during today’s visit. 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/14/2023 Number Present: 21 Completed Date: 12/14/2023 Age: From 1 To 4 Total Minutes: 340 Time In: 10:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with Tammy Odom, on-site administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Odom was available to answer questions, however she was cooking today due to low staff. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percentage (83%) as of 12/14/23. 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 of 12/14/23. Permit type – Five Star Licensed, issued July 12, 2018. Special Services/Restrictions – Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 01/06/23. The last fire drill was practiced on 12/05/23. The last shelter-in-place drill was practiced on 12/05/23. The last playground inspection was documented on 09/28/23. The last fire inspection was approved on 07/20/23. The last sanitation inspection was conducted on 09/26/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum-teaching Strategies Gold. Upon arrival, I introduced myself to the on-site administrator and the purpose of today’s visit. When I arrived most of the children were having free play outside. They played on climbers, had sand play and other activities. The children in space #3 were listening to a Christmas music and waiting for lunch to arrive. The older children came inside, washed hands and prepared for lunch. Lunch today consisted of fish sticks, hush puppies, carrots, pineapples and milk. After lunch, the children prepared for rest time. When children got up from rest time, they put away rest material and had snack. Snack consisted of goldfish and fresh orange slices. Some Head Start children were picked up by parents, two (2) children rode the bus and three (3) went to wrap-around (which is in the Child Development Center). 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 ages three to five (3 to 5) years old. You stated that you transport and average of five (5) children for pickup and delivery. I monitored the one bus today. A 2011 Thomas Built bus, license plate ZWF-4604. The registration was current through August 2024. Two (2) children files were monitored today. This facility is a child care facility with a Head Start component. The Head Start classroom operates from 8:00 a.m. to 2:30 p.m. Monday-Friday. The Child Development Center operates 7 a.m. to 5 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last Playground Safety Inspection found was from September 2023. .0605(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. KL had a TB screening on file, however it was not signed by a health care professional. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. The first two weeks there wasn’t six (6) hours of orientation training for KL. .1101(a)(b) Technical assistance was provided as follows: Item #.859 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Note: The last Playground Safety Inspection found was from September. Item #.1067 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center. Note: The first two weeks there wasn’t six (6) hours of orientation training for KL. 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: 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. Note: KL had a TB screening on file, however it was not signed by a health care professional. 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 December 28, 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, 29698 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: • Remember to fluff the mulch periodically. Children can help with this as a fun activity. • Today we went over the orientation form and how it is broken down into two sections with six (6) hours to be completed within the first two (2) weeks of employment. She stated that nobody had ever explained that to her before and now it make sense. • We discussed the playground safety checks and Ms. Odom is sure that they have been completed but she couldn’t locate them. • Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021 and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. • To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Roan View Child Development Center is in cohort one (1). Tammy Odom, on-site Administrator has voluntarily elected to apply for a star rated license reassessment. Ms. Odom has elected to apply for the Preparation Year assessment through the NCRLAP. • Ms. Odom submitted the request for the Star Rated License Reassessment application to me during today’s visit. 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 .0102 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 22 Completed Date: 8/31/2023 Age: From 1 To 4 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tammy Odom, Administrator. 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 Tammy Odom, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License, issued 7/12/2018. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/30/2023. Tammy Odom, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/6/2023. 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 Upon arrival, I introduced myself to the administrator. During today’s visit, in space #1, the group of three- to four-year-old children were outside engaged in gross motor play with the climber, balls, hula hoops, and sand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. Space #2, the group of three-year-old children were engaged in outdoor gross motor play with the climber balls, hula hoops, and sand. In space #3, the group of one- to two-year-old children were engaged in outside gross motor play with the coupe cars, little tikes climber, and sit and spin. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. All staff interaction were nurturing and positive. Lunch today consisted of fish nuggets, California blend vegetables, peaches, hushpuppies, and milk. The last fire drill was practiced on 8/28/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 11:24am and concluded at 11:26am. Once the group made it safely to the meeting location, the staff members conducted a name to face head count and the administrator asked each group their count before returning to the building. The last emergency drill, lockdown drill, was practiced on 4/21/2023. The last fire inspection was approved on 7/20/2023. The program’s most recent sanitation inspection was completed on 1/17/2023, with three (3) demerits. The Emergency Preparedness and Response plan is current as of 8/24/2023. The Emergency Medical Care Plan is posted and was updated in 11/15/2022. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. All staff trainings and Criminal Background Checks are current and up to date. There have been no new staff members hired since the last annual compliance visit. We reviewed the facility information and I noted changes that needs to be made to the outdoor diagram on the original diagram. I will update the diagram and submit to the Administrator via email. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. G.S. 110-91(6); .0601(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. .0604(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. .0604(u);.0302(d)(8) 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 9/14/2023. Email the compliance letter on signed letterhead or on 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 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. Technical Assistance for Correction Plan: Item # 721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. Item # 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 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). - A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation began 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Ensure parents complete the permission to administer medication form in it’s entirety. Paying close attention to the amount to administer for diaper cream and sunscreen (ex. Dime size, quarter size, one (1) spray per exposed body part). - I recommended a plastic tubing to cover the rough edge on the bench and the sharp edge on the flower bed border as a temporary fix until a permanent fix can be completed. - We discussed that emergency drills are due to be conducted every three (3) months instead of every quarter. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 22 Completed Date: 8/31/2023 Age: From 1 To 4 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tammy Odom, Administrator. 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 Tammy Odom, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License, issued 7/12/2018. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/30/2023. Tammy Odom, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/6/2023. 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 Upon arrival, I introduced myself to the administrator. During today’s visit, in space #1, the group of three- to four-year-old children were outside engaged in gross motor play with the climber, balls, hula hoops, and sand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. Space #2, the group of three-year-old children were engaged in outdoor gross motor play with the climber balls, hula hoops, and sand. In space #3, the group of one- to two-year-old children were engaged in outside gross motor play with the coupe cars, little tikes climber, and sit and spin. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. All staff interaction were nurturing and positive. Lunch today consisted of fish nuggets, California blend vegetables, peaches, hushpuppies, and milk. The last fire drill was practiced on 8/28/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 11:24am and concluded at 11:26am. Once the group made it safely to the meeting location, the staff members conducted a name to face head count and the administrator asked each group their count before returning to the building. The last emergency drill, lockdown drill, was practiced on 4/21/2023. The last fire inspection was approved on 7/20/2023. The program’s most recent sanitation inspection was completed on 1/17/2023, with three (3) demerits. The Emergency Preparedness and Response plan is current as of 8/24/2023. The Emergency Medical Care Plan is posted and was updated in 11/15/2022. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. All staff trainings and Criminal Background Checks are current and up to date. There have been no new staff members hired since the last annual compliance visit. We reviewed the facility information and I noted changes that needs to be made to the outdoor diagram on the original diagram. I will update the diagram and submit to the Administrator via email. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. G.S. 110-91(6); .0601(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. .0604(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. .0604(u);.0302(d)(8) 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 9/14/2023. Email the compliance letter on signed letterhead or on 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 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. Technical Assistance for Correction Plan: Item # 721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. Item # 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 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). - A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation began 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Ensure parents complete the permission to administer medication form in it’s entirety. Paying close attention to the amount to administer for diaper cream and sunscreen (ex. Dime size, quarter size, one (1) spray per exposed body part). - I recommended a plastic tubing to cover the rough edge on the bench and the sharp edge on the flower bed border as a temporary fix until a permanent fix can be completed. - We discussed that emergency drills are due to be conducted every three (3) months instead of every quarter. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 22 Completed Date: 8/31/2023 Age: From 1 To 4 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tammy Odom, Administrator. 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 Tammy Odom, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License, issued 7/12/2018. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/30/2023. Tammy Odom, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/6/2023. 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 Upon arrival, I introduced myself to the administrator. During today’s visit, in space #1, the group of three- to four-year-old children were outside engaged in gross motor play with the climber, balls, hula hoops, and sand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. Space #2, the group of three-year-old children were engaged in outdoor gross motor play with the climber balls, hula hoops, and sand. In space #3, the group of one- to two-year-old children were engaged in outside gross motor play with the coupe cars, little tikes climber, and sit and spin. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. All staff interaction were nurturing and positive. Lunch today consisted of fish nuggets, California blend vegetables, peaches, hushpuppies, and milk. The last fire drill was practiced on 8/28/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 11:24am and concluded at 11:26am. Once the group made it safely to the meeting location, the staff members conducted a name to face head count and the administrator asked each group their count before returning to the building. The last emergency drill, lockdown drill, was practiced on 4/21/2023. The last fire inspection was approved on 7/20/2023. The program’s most recent sanitation inspection was completed on 1/17/2023, with three (3) demerits. The Emergency Preparedness and Response plan is current as of 8/24/2023. The Emergency Medical Care Plan is posted and was updated in 11/15/2022. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. All staff trainings and Criminal Background Checks are current and up to date. There have been no new staff members hired since the last annual compliance visit. We reviewed the facility information and I noted changes that needs to be made to the outdoor diagram on the original diagram. I will update the diagram and submit to the Administrator via email. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. G.S. 110-91(6); .0601(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. .0604(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. .0604(u);.0302(d)(8) 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 9/14/2023. Email the compliance letter on signed letterhead or on 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 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. Technical Assistance for Correction Plan: Item # 721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. Item # 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 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). - A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation began 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Ensure parents complete the permission to administer medication form in it’s entirety. Paying close attention to the amount to administer for diaper cream and sunscreen (ex. Dime size, quarter size, one (1) spray per exposed body part). - I recommended a plastic tubing to cover the rough edge on the bench and the sharp edge on the flower bed border as a temporary fix until a permanent fix can be completed. - We discussed that emergency drills are due to be conducted every three (3) months instead of every quarter. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 22 Completed Date: 8/31/2023 Age: From 1 To 4 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tammy Odom, Administrator. 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 Tammy Odom, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License, issued 7/12/2018. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/30/2023. Tammy Odom, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/6/2023. 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 Upon arrival, I introduced myself to the administrator. During today’s visit, in space #1, the group of three- to four-year-old children were outside engaged in gross motor play with the climber, balls, hula hoops, and sand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. Space #2, the group of three-year-old children were engaged in outdoor gross motor play with the climber balls, hula hoops, and sand. In space #3, the group of one- to two-year-old children were engaged in outside gross motor play with the coupe cars, little tikes climber, and sit and spin. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. All staff interaction were nurturing and positive. Lunch today consisted of fish nuggets, California blend vegetables, peaches, hushpuppies, and milk. The last fire drill was practiced on 8/28/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 11:24am and concluded at 11:26am. Once the group made it safely to the meeting location, the staff members conducted a name to face head count and the administrator asked each group their count before returning to the building. The last emergency drill, lockdown drill, was practiced on 4/21/2023. The last fire inspection was approved on 7/20/2023. The program’s most recent sanitation inspection was completed on 1/17/2023, with three (3) demerits. The Emergency Preparedness and Response plan is current as of 8/24/2023. The Emergency Medical Care Plan is posted and was updated in 11/15/2022. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. All staff trainings and Criminal Background Checks are current and up to date. There have been no new staff members hired since the last annual compliance visit. We reviewed the facility information and I noted changes that needs to be made to the outdoor diagram on the original diagram. I will update the diagram and submit to the Administrator via email. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. G.S. 110-91(6); .0601(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. .0604(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. .0604(u);.0302(d)(8) 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 9/14/2023. Email the compliance letter on signed letterhead or on 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 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. Technical Assistance for Correction Plan: Item # 721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. Item # 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 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). - A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation began 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Ensure parents complete the permission to administer medication form in it’s entirety. Paying close attention to the amount to administer for diaper cream and sunscreen (ex. Dime size, quarter size, one (1) spray per exposed body part). - I recommended a plastic tubing to cover the rough edge on the bench and the sharp edge on the flower bed border as a temporary fix until a permanent fix can be completed. - We discussed that emergency drills are due to be conducted every three (3) months instead of every quarter. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 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 .0604 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 22 Completed Date: 8/31/2023 Age: From 1 To 4 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tammy Odom, Administrator. 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 Tammy Odom, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License, issued 7/12/2018. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/30/2023. Tammy Odom, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/6/2023. 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 Upon arrival, I introduced myself to the administrator. During today’s visit, in space #1, the group of three- to four-year-old children were outside engaged in gross motor play with the climber, balls, hula hoops, and sand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. Space #2, the group of three-year-old children were engaged in outdoor gross motor play with the climber balls, hula hoops, and sand. In space #3, the group of one- to two-year-old children were engaged in outside gross motor play with the coupe cars, little tikes climber, and sit and spin. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. All staff interaction were nurturing and positive. Lunch today consisted of fish nuggets, California blend vegetables, peaches, hushpuppies, and milk. The last fire drill was practiced on 8/28/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 11:24am and concluded at 11:26am. Once the group made it safely to the meeting location, the staff members conducted a name to face head count and the administrator asked each group their count before returning to the building. The last emergency drill, lockdown drill, was practiced on 4/21/2023. The last fire inspection was approved on 7/20/2023. The program’s most recent sanitation inspection was completed on 1/17/2023, with three (3) demerits. The Emergency Preparedness and Response plan is current as of 8/24/2023. The Emergency Medical Care Plan is posted and was updated in 11/15/2022. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. All staff trainings and Criminal Background Checks are current and up to date. There have been no new staff members hired since the last annual compliance visit. We reviewed the facility information and I noted changes that needs to be made to the outdoor diagram on the original diagram. I will update the diagram and submit to the Administrator via email. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. G.S. 110-91(6); .0601(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. .0604(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. .0604(u);.0302(d)(8) 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 9/14/2023. Email the compliance letter on signed letterhead or on 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 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. Technical Assistance for Correction Plan: Item # 721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. Item # 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 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). - A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation began 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Ensure parents complete the permission to administer medication form in it’s entirety. Paying close attention to the amount to administer for diaper cream and sunscreen (ex. Dime size, quarter size, one (1) spray per exposed body part). - I recommended a plastic tubing to cover the rough edge on the bench and the sharp edge on the flower bed border as a temporary fix until a permanent fix can be completed. - We discussed that emergency drills are due to be conducted every three (3) months instead of every quarter. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 22 Completed Date: 8/31/2023 Age: From 1 To 4 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tammy Odom, Administrator. 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 Tammy Odom, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License, issued 7/12/2018. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/30/2023. Tammy Odom, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/6/2023. 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 Upon arrival, I introduced myself to the administrator. During today’s visit, in space #1, the group of three- to four-year-old children were outside engaged in gross motor play with the climber, balls, hula hoops, and sand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. Space #2, the group of three-year-old children were engaged in outdoor gross motor play with the climber balls, hula hoops, and sand. In space #3, the group of one- to two-year-old children were engaged in outside gross motor play with the coupe cars, little tikes climber, and sit and spin. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. All staff interaction were nurturing and positive. Lunch today consisted of fish nuggets, California blend vegetables, peaches, hushpuppies, and milk. The last fire drill was practiced on 8/28/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 11:24am and concluded at 11:26am. Once the group made it safely to the meeting location, the staff members conducted a name to face head count and the administrator asked each group their count before returning to the building. The last emergency drill, lockdown drill, was practiced on 4/21/2023. The last fire inspection was approved on 7/20/2023. The program’s most recent sanitation inspection was completed on 1/17/2023, with three (3) demerits. The Emergency Preparedness and Response plan is current as of 8/24/2023. The Emergency Medical Care Plan is posted and was updated in 11/15/2022. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. All staff trainings and Criminal Background Checks are current and up to date. There have been no new staff members hired since the last annual compliance visit. We reviewed the facility information and I noted changes that needs to be made to the outdoor diagram on the original diagram. I will update the diagram and submit to the Administrator via email. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. G.S. 110-91(6); .0601(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. .0604(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. .0604(u);.0302(d)(8) 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 9/14/2023. Email the compliance letter on signed letterhead or on 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 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. Technical Assistance for Correction Plan: Item # 721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. Item # 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 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). - A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation began 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Ensure parents complete the permission to administer medication form in it’s entirety. Paying close attention to the amount to administer for diaper cream and sunscreen (ex. Dime size, quarter size, one (1) spray per exposed body part). - I recommended a plastic tubing to cover the rough edge on the bench and the sharp edge on the flower bed border as a temporary fix until a permanent fix can be completed. - We discussed that emergency drills are due to be conducted every three (3) months instead of every quarter. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 22 Completed Date: 8/31/2023 Age: From 1 To 4 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tammy Odom, Administrator. 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 Tammy Odom, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License, issued 7/12/2018. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/30/2023. Tammy Odom, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/6/2023. 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 Upon arrival, I introduced myself to the administrator. During today’s visit, in space #1, the group of three- to four-year-old children were outside engaged in gross motor play with the climber, balls, hula hoops, and sand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. Space #2, the group of three-year-old children were engaged in outdoor gross motor play with the climber balls, hula hoops, and sand. In space #3, the group of one- to two-year-old children were engaged in outside gross motor play with the coupe cars, little tikes climber, and sit and spin. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. All staff interaction were nurturing and positive. Lunch today consisted of fish nuggets, California blend vegetables, peaches, hushpuppies, and milk. The last fire drill was practiced on 8/28/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 11:24am and concluded at 11:26am. Once the group made it safely to the meeting location, the staff members conducted a name to face head count and the administrator asked each group their count before returning to the building. The last emergency drill, lockdown drill, was practiced on 4/21/2023. The last fire inspection was approved on 7/20/2023. The program’s most recent sanitation inspection was completed on 1/17/2023, with three (3) demerits. The Emergency Preparedness and Response plan is current as of 8/24/2023. The Emergency Medical Care Plan is posted and was updated in 11/15/2022. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. All staff trainings and Criminal Background Checks are current and up to date. There have been no new staff members hired since the last annual compliance visit. We reviewed the facility information and I noted changes that needs to be made to the outdoor diagram on the original diagram. I will update the diagram and submit to the Administrator via email. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. G.S. 110-91(6); .0601(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. .0604(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. .0604(u);.0302(d)(8) 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 9/14/2023. Email the compliance letter on signed letterhead or on 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 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. Technical Assistance for Correction Plan: Item # 721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. Item # 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 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). - A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation began 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Ensure parents complete the permission to administer medication form in it’s entirety. Paying close attention to the amount to administer for diaper cream and sunscreen (ex. Dime size, quarter size, one (1) spray per exposed body part). - I recommended a plastic tubing to cover the rough edge on the bench and the sharp edge on the flower bed border as a temporary fix until a permanent fix can be completed. - We discussed that emergency drills are due to be conducted every three (3) months instead of every quarter. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 22 Completed Date: 8/31/2023 Age: From 1 To 4 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tammy Odom, Administrator. 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 Tammy Odom, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License, issued 7/12/2018. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/30/2023. Tammy Odom, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/6/2023. 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 Upon arrival, I introduced myself to the administrator. During today’s visit, in space #1, the group of three- to four-year-old children were outside engaged in gross motor play with the climber, balls, hula hoops, and sand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. Space #2, the group of three-year-old children were engaged in outdoor gross motor play with the climber balls, hula hoops, and sand. In space #3, the group of one- to two-year-old children were engaged in outside gross motor play with the coupe cars, little tikes climber, and sit and spin. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. All staff interaction were nurturing and positive. Lunch today consisted of fish nuggets, California blend vegetables, peaches, hushpuppies, and milk. The last fire drill was practiced on 8/28/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 11:24am and concluded at 11:26am. Once the group made it safely to the meeting location, the staff members conducted a name to face head count and the administrator asked each group their count before returning to the building. The last emergency drill, lockdown drill, was practiced on 4/21/2023. The last fire inspection was approved on 7/20/2023. The program’s most recent sanitation inspection was completed on 1/17/2023, with three (3) demerits. The Emergency Preparedness and Response plan is current as of 8/24/2023. The Emergency Medical Care Plan is posted and was updated in 11/15/2022. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. All staff trainings and Criminal Background Checks are current and up to date. There have been no new staff members hired since the last annual compliance visit. We reviewed the facility information and I noted changes that needs to be made to the outdoor diagram on the original diagram. I will update the diagram and submit to the Administrator via email. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. G.S. 110-91(6); .0601(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. .0604(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. .0604(u);.0302(d)(8) 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 9/14/2023. Email the compliance letter on signed letterhead or on 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 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. Technical Assistance for Correction Plan: Item # 721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. Item # 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 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). - A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation began 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Ensure parents complete the permission to administer medication form in it’s entirety. Paying close attention to the amount to administer for diaper cream and sunscreen (ex. Dime size, quarter size, one (1) spray per exposed body part). - I recommended a plastic tubing to cover the rough edge on the bench and the sharp edge on the flower bed border as a temporary fix until a permanent fix can be completed. - We discussed that emergency drills are due to be conducted every three (3) months instead of every quarter. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 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: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 22 Completed Date: 8/31/2023 Age: From 1 To 4 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tammy Odom, Administrator. 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 Tammy Odom, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License, issued 7/12/2018. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/30/2023. Tammy Odom, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/6/2023. 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 Upon arrival, I introduced myself to the administrator. During today’s visit, in space #1, the group of three- to four-year-old children were outside engaged in gross motor play with the climber, balls, hula hoops, and sand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. Space #2, the group of three-year-old children were engaged in outdoor gross motor play with the climber balls, hula hoops, and sand. In space #3, the group of one- to two-year-old children were engaged in outside gross motor play with the coupe cars, little tikes climber, and sit and spin. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. All staff interaction were nurturing and positive. Lunch today consisted of fish nuggets, California blend vegetables, peaches, hushpuppies, and milk. The last fire drill was practiced on 8/28/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 11:24am and concluded at 11:26am. Once the group made it safely to the meeting location, the staff members conducted a name to face head count and the administrator asked each group their count before returning to the building. The last emergency drill, lockdown drill, was practiced on 4/21/2023. The last fire inspection was approved on 7/20/2023. The program’s most recent sanitation inspection was completed on 1/17/2023, with three (3) demerits. The Emergency Preparedness and Response plan is current as of 8/24/2023. The Emergency Medical Care Plan is posted and was updated in 11/15/2022. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. All staff trainings and Criminal Background Checks are current and up to date. There have been no new staff members hired since the last annual compliance visit. We reviewed the facility information and I noted changes that needs to be made to the outdoor diagram on the original diagram. I will update the diagram and submit to the Administrator via email. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. G.S. 110-91(6); .0601(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. .0604(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. .0604(u);.0302(d)(8) 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 9/14/2023. Email the compliance letter on signed letterhead or on 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 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. Technical Assistance for Correction Plan: Item # 721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. Item # 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 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). - A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation began 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Ensure parents complete the permission to administer medication form in it’s entirety. Paying close attention to the amount to administer for diaper cream and sunscreen (ex. Dime size, quarter size, one (1) spray per exposed body part). - I recommended a plastic tubing to cover the rough edge on the bench and the sharp edge on the flower bed border as a temporary fix until a permanent fix can be completed. - We discussed that emergency drills are due to be conducted every three (3) months instead of every quarter. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 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. 110-91 · Violation

Name of Operation: ROAN VIEW CHILD DEVELOPMENT CENTER Facility ID: 61000060 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 8/31/2023 Number Present: 22 Completed Date: 8/31/2023 Age: From 1 To 4 Total Minutes: 115 Time In: 10:05 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Tammy Odom, Administrator. 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 Tammy Odom, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License, issued 7/12/2018. The permit restrictions were in compliance including first shift, meets enhanced ratios, meets enhanced space. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/30/2023. Tammy Odom, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 1/6/2023. 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 Upon arrival, I introduced myself to the administrator. During today’s visit, in space #1, the group of three- to four-year-old children were outside engaged in gross motor play with the climber, balls, hula hoops, and sand. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. Space #2, the group of three-year-old children were engaged in outdoor gross motor play with the climber balls, hula hoops, and sand. In space #3, the group of one- to two-year-old children were engaged in outside gross motor play with the coupe cars, little tikes climber, and sit and spin. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. All staff interaction were nurturing and positive. Lunch today consisted of fish nuggets, California blend vegetables, peaches, hushpuppies, and milk. The last fire drill was practiced on 8/28/2023. A fire drill was conducted and monitored during the visit. The fire drill began at 11:24am and concluded at 11:26am. Once the group made it safely to the meeting location, the staff members conducted a name to face head count and the administrator asked each group their count before returning to the building. The last emergency drill, lockdown drill, was practiced on 4/21/2023. The last fire inspection was approved on 7/20/2023. The program’s most recent sanitation inspection was completed on 1/17/2023, with three (3) demerits. The Emergency Preparedness and Response plan is current as of 8/24/2023. The Emergency Medical Care Plan is posted and was updated in 11/15/2022. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. All staff trainings and Criminal Background Checks are current and up to date. There have been no new staff members hired since the last annual compliance visit. We reviewed the facility information and I noted changes that needs to be made to the outdoor diagram on the original diagram. I will update the diagram and submit to the Administrator via email. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. G.S. 110-91(6); .0601(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. .0604(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. .0604(u);.0302(d)(8) 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 9/14/2023. Email the compliance letter on signed letterhead or on 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 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. Technical Assistance for Correction Plan: Item # 721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. - Outdoor space #4, a bench used by children and staff was broken with rough edges. Outdoor space #3, the corner of the flower bed plastic border was broken with sharp edges. Item #898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. - In space #2, a hot glue gun was located in a unlocked drawer below five (5) feet. The administrator moved the hot glue gun to a cabinet five (5) feet off the floor to be inaccessible to the children. Item # 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 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). - A shelter in place or lockdown drill was not practiced every three (3) months. The last recorded practice was dated 4/21/2023. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation began 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Ensure parents complete the permission to administer medication form in it’s entirety. Paying close attention to the amount to administer for diaper cream and sunscreen (ex. Dime size, quarter size, one (1) spray per exposed body part). - I recommended a plastic tubing to cover the rough edge on the bench and the sharp edge on the flower bed border as a temporary fix until a permanent fix can be completed. - We discussed that emergency drills are due to be conducted every three (3) months instead of every quarter. 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. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 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