Supervision
Name of Operation: THE GODDARD SCHOOL OF ASHEVILLE Facility ID: 11000928 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/9/2026 Number Present: 129 Completed Date: 6/9/2026 Age: From 0 To 5 Total Minutes: 402 Time In: 09:00 AM Time Out: 03:42 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Mikayela Cheatham, Owner during the visit. A signed copy of the visit summary was left on-site and electronically emailed to you. Today, Jessica Bachar, Director of Education, was available during the visit. Laine Kovac, Director of Operations, accompanied me to the walk-through. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. Permit type – four-star center license issued on 10/7/24. Special Services/Restrictions – daytime care, no cooking allowed, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 12/16/25. The last fire drill was practiced on 5/28/26. The last lockdown was practiced on 3/12/26. The last playground inspection was documented on 5/26/26. The last fire inspection was approved on 1/22/26. The last sanitation inspection was conducted on 3/24/26 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was last updated on 5/20/26. The approved curriculum was Wonder of Learning. Approved formative assessment – COR Advantage. Lead water testing was completed on 3/20/25 without hazards. Lead paint and asbestos testing was completed on 6/3/25. Thirty-two (32) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Walk-through: In room #142, a group of seven (7) infants were present with two (2) staff members. three (3) children were in crib, two (2) were on the floor, one (1) was being fed a bottle and one (1) was held. Sleep check was conducted for the children in the cribs. All bottles in the refrigerator were labeled with children’s names and today’s date. Feeding plans were signed by parents and posted in the classroom. Interaction and supervision were adequate. In room #138, a group of eight (8) children, infants and one (1) year of age, were present with two (2) staff members. One (1) child was briefly asleep in the crib but woke up crying. One (1) child was awake, calm and falling asleep in the crib, and five (5) children explored the environment and played with materials. One (1) of them pulled up on a shelf and dumped a bucket of toys. There were bottles and food for children in the refrigerator. Five (5) bottles did not have dates. Supervision and interaction were adequate. A group of nine (9) children, all one (1) year old from room #134, played on the playground. The children either pushed or rode riding toys, crawled in the tunnel and ran with staff members. Two (2) staff members interacted with children and supervised them. In room #132, a group of seven (7) children, one (1) and two (2) years of age, were present with two (2) staff members. The children climbed/sat on a climber, played with soft materials, and conversed with staff members. In room #128, a group of fourteen (14) children, all two (2) years of age, transitioned from classroom to the playground. Upon transition, one (1) staff member exited to the playground and the other staff member stood at the door. Each child’s name was called along with a number. As he/she crossed the threshold, staff member moved him/her on the tablet. Children played with balls, rings and toy cars on the playground. In room #120, a group of fifteen (15) children, all two (2) years of age, were present with two (2) staff members. The children played on the playground with a slide structure, wagons, tricycles and other accessories. Staff members communicated with each other regarding positioning and supervision. In room #119, a group of twenty (20) children, four (4) and five (5) years of age, were present with two (2) staff members and engaged in free play with art materials, pegs, gears, blocks and pretend toys. Supervision and interaction were adequate. In room #112, a group of nineteen (19) children, four (4) and five (5) years of age, were present with two (2) staff members. The children participated in group time and discussed animal tracks. After group time, the children transitioned to free play. Supervision and interaction were adequate. In room #110, a group of sixteen (16) children, three (3) and four (4) years of age, were present with two (2) staff members. The children engaged in free play with pipe cleaners, feathers, papers, markers, gear, magnetic tiles and other materials. Supervision and interaction were adequate. In room #105, a group of fourteen (14) children, all three (3) years old, were present with two (2) staff members. The children engaged in free play with Legos, art materials, science viewers, etc. One (1) staff member read to a small group of children. Medications: Diaper creams, sunscreens, lotions and emergency medications were monitored in each classroom. All twelve (12) emergency medications were stored appropriately. All permission forms and action plans were valid. One (1) over-the-counter sunscreen was expired. All permission forms for diaper creams, lotions and sunscreens were valid. Staff files: Twenty-three (23) existing staff members’ files were monitored partially for criminal background letters, First Aid/CPR certificates and ITS/SIDS training certificates (if required). The Staff and Training Worksheet for existing staff members were submitted during today’s visit, and the following discrepancies were noted: M. Hoadley: CPR/first aid expiration date – 3/20/28 E. Lopez-Acevedo: ITS/SIDS – training date 3/14/25, expiration date 3/14/28 Ten (10) new staff files were monitored in full. T. Hyatt: Date of employment (DOE) – 4/28/26 Application – 4/27/26 Orientation – 2wks 4/28/26, 6wks 5/11/26 Criminal background check – issued on 6/8/22, expires on 6/8/27 Emergency information (EI) – 4/27/26 Operational policy and personnel policy (OP/PP) review – 4/27/26 Emergency Preparedness and Response (EPR) plan and Emergency Medical Care (EMC) plan review – 4/29/26 Shaken baby policy review – 4/28/26 Recognizing and Responding to Suspicions of Child Maltreatment (RRSCM) training – 4/28/26 Medical- 4/28/26 TB- 4/28/26 HQ – 4/30/26 CPR/FA- 5/22/28 M. Brown: DOE- 2/17/26 App -2/17/26 EI – 2/17/26 CBC issued on 2/6/26 and expires on 2/6/31 ITS/SIDS – 3/5/26 expires on 3/5/29 RRSCM – 2/17/26 CPR/FA- 1/30/26 expires on 1/30/28 EPR/EMC review – 2/24/26 OP/PP review 2/17/26 Orientation – hours and person who conducted orientation were documented, but the dates of the orientation for each topic was not documented – corrected during visit. TB -2/1/26 Medical-2/1/26 HQ-2/6/26 Shaken baby policy review – 2/17/26 T. Cole: DOE – 1/27/26 App- 1/27/26 EI- 1/27/26 Orientation – 2wks 2/4/26, 6wks 2/4/26 CBC: issued 8/15/25, expires 8/15/30 Health and Safety training – 2/3/26 CPR/FA -expires on 1/30/28 ITS/SIDS – expires on 8/21/27 RRSCM- 1/27/26 OP/PP review – 1/27/26 EPR/EMC review – 2/4/26 Shaken baby policy – 1/27/26 Medical -1/23/26 TB -1/23/26 HQ-1/27/26 C. McCall: DOE – 12/18/25 EI- 1/2/26 Orientation -2wks12/19/26, 6wks 12/23/26 Application- 12/18/25 CBC – issued on 12/4/25, expires on 12/4/30 RRSCM – 12/15/25 CPR/FA- expires on 1/30/28 EPR/EMC review – 1/2/26 Shaken baby policy review – 12/18/25 Medical- 12/17/25 TB – 12/6/25 HQ- 1/2/26 M. Robles: DOE – 2/17/26 Application – 2/17/26 EI – 2/17/26 Orientation – 2wks 2/18/26, 6wks 2/24/26 CBC – issued on 1/19/23, expires on 1/19/28 RRCMT- 2/17/26 CPR/FA – expires on 1/7/28 EPR/EMC review – 2/24/26 Shaken Baby policy review- 2/17/26 OP/PP – 2/17/26 Medical-12/2/25 TB- 12/5/25 HQ- 2/17/26 N. Shostak: DOE – 1/27/26 Application – 1/27/26 Orientation – 2wks 1/30/26, 6wks 2/9/26 EI – 1/27/26 CBC- expires on 1/7/31 RRSCM – 1/2/26 CPR/FA – expires on 1/30/28 Shaken baby policy review – 1/28/26 OP/PP – 1/27/26 EPR/EMC – 2/4/26 Medical-1/6/26 TB – 1/6/26 HQ-1/27/26 K. Blinn: DOE – 3/16/26 EI- 3/16/26 Application -3/16/26 Orientation – 2wks 3/20/26, 6wks 3/23/26 CBC- expires on 1/17/30 ITS/SIDS – expires on 2/21/28 CPR/FA -3/20/28 RRSCMT -3/18/26 EPR/EMC - 3/20/26 OP/PP -3/16/26 Shaken baby policy review -3/16/26 TB -1/10/26 Medical-3/10/26 HQ-3/16/26 E. Bowman: DOE – 5/18/26 Orientation – 2wks documentation incomplete*, 6wks in progress* Application – on file with no date6 RRSCM- 5/18/26 CBC- expires on 5/12/31 HQ – 5/18/26 EI – 5/18/26 Medical – 5/5/2 TB – 5/5/26 OP/PP – 5/18/26 Shaken baby policy review - * The staff member was in present in space #3 during today’s visit. J. Roberson: DOE – 6/8/26 OP/PP – 6/5/26 RRSCM – 6/8/26 Medical – 6/6/26 TB- 6/6/26 HQ- 6/8/26 Application – on file with no date EI – 6/8/26 Criminal background letter was not on file* This staff member has not started in the classroom. M. Carroll: DOE – 6/8/26 HQ – 6/6/26 EI – 6/6/26 Application – 6/6/26 TB – 6/4/26 Medical- 6/5/26 OP/PP- 6/6/26 Criminal background letter was not on file* This staff member has not started in the classroom. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Five (5) bottles in the refrigerator in space #2 were not labeled with today's date. 15A NCAC 18A .2804(d) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Think Baby sunscreen in space #10 expired at the end of May 2026. .0803(12) 892 The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The program's Safe Sleep Policy was not posted in space #1 and #2 where infants were cared for. .0606(b) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per orientation documentation for one (1) staff member with employment date of 5/18/26, review of adequate supervision, prevention of Shaken Baby/Abusive Head Trauma and prevention of infectious diseases were not documented. .1101(a)(b) 1757 A valid qualification letter was not on file and available to review at the facility. Three (3) staff members' valid qualification letters were not printed and maintained on their staff files. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. At least two (2) staff member who left the employment and five (5) staff members who were newly employed were not reflected on the ABCMS roster. G.S. 110-90.2 & .2703(r) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A signed acknowledgement of Shaken Baby Syndrome policy was not on file for a staff member with employment date of 5/18/26. The staff member was in the classroom during today's visit. .0608(d)(1-4) Technical assistance was provided as follows: Violations corrected during visit: 533: bottles and food from home Bottles and food containers from home must be labeled with each child’s name and date. All bottles in room # 138 was labeled by the staff members; therefore, this violation was corrected during visit. 849: expired medication Expired medications including over-the-counter products must be discarded or sent home within seventy-two (72) hours of expiration dates. During today’s visit, Ms. Kovac discarded Think Baby Sunscreen maintained in room #105. Therefore, this violation was corrected during visit. 892: Safe Sleep policy The program’s Safe Sleep Policy must be posted in the infant rooms. During today’s visit, the program’s Safe Sleep Policy was printed and posted in room #142 and #138 by Ms. Bachar; therefore, this violation was corrected during visit. 1067: first two (2) weeks of orientation All five (5) topics must be reviewed with each staff member during first two (2) weeks of employment. During today’s visit, Ms. Bachar completed the documentation of orientation for supervision, prevention of shaken baby syndrome and prevention of infectious diseases for E. Bowman. Therefore, this violation was corrected during visit. 1757: qualification letters Qualification letters must be on file for review. Three (3) staff members’ valid qualification letters were not printed and maintained on files. Ms. Bachar printed their qualification letters and file them; therefore, this violation was corrected during visit. 1874: review of Shaken Baby Policy The program’s policy on prevention of Shaken Baby Syndrome and Abusive Head Trauma must be reviewed with each new employees prior to he/she works in the classroom. Additionally, the documentation of acknowledgement of the review must be maintained on staff files. Per Ms. Bachar, the policy was reviewed with E. Bowman during onboarding process. During today’s visit, the acknowledgement form was signed by the staff member and filed; therefore, this violation was corrected during visit. Outstanding violation: 1805: ABCMS At least five (5) new staff members were not added to the ABCMS roster within five (5) days of their date of employment. Additionally, at least two (2) staff members who left employment were not removed form the ABCMS roster within five (5) days of their separation. To comply, please update the ABCMS roster to reflect your accurate staff list. In your compliance letter, please verify the completion of this task. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/23/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: QIRS progress: The program’s progress on the Rated License Assessment was discussed. Based on prior review of the staff members’ WORKS accounts/letters, the following staff members may need to update their accounts/letters: M. Flores-Lopez- no WORKS letter was issued, or no WORKS account was created. K. Guthrie- return letter was issued. Due to staff changes, we reviewed eight (8) additional staff members’ WORKS letters/accounts. I have reviewed chart the previous administrator created for Family and Community Engagement. Due to the length and documentations, details were not reviewed. The program is well-prepared for the Rated License Assessment. Please complete the following before sending the application: • Start on individual CQI for all staff members, including substitutes, floaters, cooks, etc. • Ensure that all staff members (lead teachers, teachers (TA) and administrator) WORKS letters were current. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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