10A NCAC 09 .0803 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 45 Completed Date: 4/3/2025 Age: From 2 To 6 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kristy Beaver, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Erin VanNote, Owner/Operator, accompanied me during the visit, and Kristy Beaver, Administrator, assisted me with me with files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 3/18/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 3/18/2025. Permit type – Three (3) Star Rated License, issued 4/30/2024. Special Services/Restrictions – First shift, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/26/2024. The last fire drill was practiced on 3/28/2025. The monthly fire drill for October was missed due to Tropical Storm Helene. The last lockdown drill was practiced on 1/30/2025. An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The last playground inspection was documented on 3/28/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/24/2025 with four (4) demerits for a superior classification. The last lead water testing was conducted on 12/27/2023 and is due 12/27/2026. The lead paint and asbestos testing has been reviewed by RTI. Per RTI the facility is not applicable (N/A) for any hazards. The Emergency Medical Care plan was posted and current. The program does not provide transportation. The facility was closed from 9/27/2024 to 10/31/2025 due to Tropical Storm Helene. The facility re-opened on 10/31/2024 at an emergency relocation site due to the extensive damage the permanent location sustained. On 11/25/2024 the facility was able to re-open at its permanent location. During the visit, I observed the children engaged in group time, transitioning to outdoor play, and outdoor play. Space #3, the group of two and a half- to three-year-old children were transitioning outdoors for gross motor play. While monitoring medications, I observed one (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children nine (9) children were transitioning outside for gross motor play and seven (7) children were inside with the other caregiver. Space #5, the group of three- to six-year-old children were engaged in a special butterfly release activity outside the fenced in area. The group gathered in a circle outside the fenced to release the butterflies. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and two (2) medications that did not meet requirements. One (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Additional guidance due to Tropical Storm Helene: * The monthly fire drill for October was missed due to Tropical Storm Helene. The facility has resumed monthly fire drills since reopening at their permanent location. * An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The next drill is due by 4/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) Benadryl expired 1/2025. .0803(12) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. .2506(c) 1898 Staff did not complete the health and safety training within one year of employment. While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. .1102(a) Technical assistance was provided as follows: Item 842 In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule Reference: 10A NCAC 09.0803 (1)(a&b) Item 849 In space #3, one (1) Benadryl expired 1/2025. During the visit, the administrator emailed the parent and removed the Benadryl from use. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule reference: 10A NCAC 09 .0803 (12) Item 1422 In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. We discussed when adult tools are not in use, they should be stored in a locked cabinet. Rule reference: 10A NCAC 09 .2506(c) Item 1898 While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. During the visit, the staff member attempted to access the training certificates but was unable to do so due to their account being locked. The staff member contacted NCID regarding her account but was unable to get support. The staff member attempted to reach out to NCID using a different contact number but was unable to obtain support and access to her account. Rule reference: 10A NCAC 09.1102 (a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed a possibility for capacity increase and the process for completing the increase should the facility choose to increase capacity. We also discussed the environmental rating scales, but the facility feels that it will be possibly next year before they would be able to look at going through the scales. We discussed toxic plants and the provider asked if I could provide a resource for them to use to ensure all plants are not toxic. I left a copy of the toxic plant list with the provider. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 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 .2506 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 45 Completed Date: 4/3/2025 Age: From 2 To 6 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kristy Beaver, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Erin VanNote, Owner/Operator, accompanied me during the visit, and Kristy Beaver, Administrator, assisted me with me with files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 3/18/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 3/18/2025. Permit type – Three (3) Star Rated License, issued 4/30/2024. Special Services/Restrictions – First shift, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/26/2024. The last fire drill was practiced on 3/28/2025. The monthly fire drill for October was missed due to Tropical Storm Helene. The last lockdown drill was practiced on 1/30/2025. An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The last playground inspection was documented on 3/28/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/24/2025 with four (4) demerits for a superior classification. The last lead water testing was conducted on 12/27/2023 and is due 12/27/2026. The lead paint and asbestos testing has been reviewed by RTI. Per RTI the facility is not applicable (N/A) for any hazards. The Emergency Medical Care plan was posted and current. The program does not provide transportation. The facility was closed from 9/27/2024 to 10/31/2025 due to Tropical Storm Helene. The facility re-opened on 10/31/2024 at an emergency relocation site due to the extensive damage the permanent location sustained. On 11/25/2024 the facility was able to re-open at its permanent location. During the visit, I observed the children engaged in group time, transitioning to outdoor play, and outdoor play. Space #3, the group of two and a half- to three-year-old children were transitioning outdoors for gross motor play. While monitoring medications, I observed one (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children nine (9) children were transitioning outside for gross motor play and seven (7) children were inside with the other caregiver. Space #5, the group of three- to six-year-old children were engaged in a special butterfly release activity outside the fenced in area. The group gathered in a circle outside the fenced to release the butterflies. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and two (2) medications that did not meet requirements. One (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Additional guidance due to Tropical Storm Helene: * The monthly fire drill for October was missed due to Tropical Storm Helene. The facility has resumed monthly fire drills since reopening at their permanent location. * An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The next drill is due by 4/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) Benadryl expired 1/2025. .0803(12) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. .2506(c) 1898 Staff did not complete the health and safety training within one year of employment. While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. .1102(a) Technical assistance was provided as follows: Item 842 In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule Reference: 10A NCAC 09.0803 (1)(a&b) Item 849 In space #3, one (1) Benadryl expired 1/2025. During the visit, the administrator emailed the parent and removed the Benadryl from use. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule reference: 10A NCAC 09 .0803 (12) Item 1422 In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. We discussed when adult tools are not in use, they should be stored in a locked cabinet. Rule reference: 10A NCAC 09 .2506(c) Item 1898 While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. During the visit, the staff member attempted to access the training certificates but was unable to do so due to their account being locked. The staff member contacted NCID regarding her account but was unable to get support. The staff member attempted to reach out to NCID using a different contact number but was unable to obtain support and access to her account. Rule reference: 10A NCAC 09.1102 (a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed a possibility for capacity increase and the process for completing the increase should the facility choose to increase capacity. We also discussed the environmental rating scales, but the facility feels that it will be possibly next year before they would be able to look at going through the scales. We discussed toxic plants and the provider asked if I could provide a resource for them to use to ensure all plants are not toxic. I left a copy of the toxic plant list with the provider. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 45 Completed Date: 4/3/2025 Age: From 2 To 6 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kristy Beaver, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Erin VanNote, Owner/Operator, accompanied me during the visit, and Kristy Beaver, Administrator, assisted me with me with files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 3/18/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 3/18/2025. Permit type – Three (3) Star Rated License, issued 4/30/2024. Special Services/Restrictions – First shift, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/26/2024. The last fire drill was practiced on 3/28/2025. The monthly fire drill for October was missed due to Tropical Storm Helene. The last lockdown drill was practiced on 1/30/2025. An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The last playground inspection was documented on 3/28/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/24/2025 with four (4) demerits for a superior classification. The last lead water testing was conducted on 12/27/2023 and is due 12/27/2026. The lead paint and asbestos testing has been reviewed by RTI. Per RTI the facility is not applicable (N/A) for any hazards. The Emergency Medical Care plan was posted and current. The program does not provide transportation. The facility was closed from 9/27/2024 to 10/31/2025 due to Tropical Storm Helene. The facility re-opened on 10/31/2024 at an emergency relocation site due to the extensive damage the permanent location sustained. On 11/25/2024 the facility was able to re-open at its permanent location. During the visit, I observed the children engaged in group time, transitioning to outdoor play, and outdoor play. Space #3, the group of two and a half- to three-year-old children were transitioning outdoors for gross motor play. While monitoring medications, I observed one (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children nine (9) children were transitioning outside for gross motor play and seven (7) children were inside with the other caregiver. Space #5, the group of three- to six-year-old children were engaged in a special butterfly release activity outside the fenced in area. The group gathered in a circle outside the fenced to release the butterflies. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and two (2) medications that did not meet requirements. One (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Additional guidance due to Tropical Storm Helene: * The monthly fire drill for October was missed due to Tropical Storm Helene. The facility has resumed monthly fire drills since reopening at their permanent location. * An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The next drill is due by 4/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) Benadryl expired 1/2025. .0803(12) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. .2506(c) 1898 Staff did not complete the health and safety training within one year of employment. While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. .1102(a) Technical assistance was provided as follows: Item 842 In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule Reference: 10A NCAC 09.0803 (1)(a&b) Item 849 In space #3, one (1) Benadryl expired 1/2025. During the visit, the administrator emailed the parent and removed the Benadryl from use. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule reference: 10A NCAC 09 .0803 (12) Item 1422 In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. We discussed when adult tools are not in use, they should be stored in a locked cabinet. Rule reference: 10A NCAC 09 .2506(c) Item 1898 While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. During the visit, the staff member attempted to access the training certificates but was unable to do so due to their account being locked. The staff member contacted NCID regarding her account but was unable to get support. The staff member attempted to reach out to NCID using a different contact number but was unable to obtain support and access to her account. Rule reference: 10A NCAC 09.1102 (a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed a possibility for capacity increase and the process for completing the increase should the facility choose to increase capacity. We also discussed the environmental rating scales, but the facility feels that it will be possibly next year before they would be able to look at going through the scales. We discussed toxic plants and the provider asked if I could provide a resource for them to use to ensure all plants are not toxic. I left a copy of the toxic plant list with the provider. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 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 .0803 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 45 Completed Date: 4/3/2025 Age: From 2 To 6 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kristy Beaver, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Erin VanNote, Owner/Operator, accompanied me during the visit, and Kristy Beaver, Administrator, assisted me with me with files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 3/18/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 3/18/2025. Permit type – Three (3) Star Rated License, issued 4/30/2024. Special Services/Restrictions – First shift, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/26/2024. The last fire drill was practiced on 3/28/2025. The monthly fire drill for October was missed due to Tropical Storm Helene. The last lockdown drill was practiced on 1/30/2025. An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The last playground inspection was documented on 3/28/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/24/2025 with four (4) demerits for a superior classification. The last lead water testing was conducted on 12/27/2023 and is due 12/27/2026. The lead paint and asbestos testing has been reviewed by RTI. Per RTI the facility is not applicable (N/A) for any hazards. The Emergency Medical Care plan was posted and current. The program does not provide transportation. The facility was closed from 9/27/2024 to 10/31/2025 due to Tropical Storm Helene. The facility re-opened on 10/31/2024 at an emergency relocation site due to the extensive damage the permanent location sustained. On 11/25/2024 the facility was able to re-open at its permanent location. During the visit, I observed the children engaged in group time, transitioning to outdoor play, and outdoor play. Space #3, the group of two and a half- to three-year-old children were transitioning outdoors for gross motor play. While monitoring medications, I observed one (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children nine (9) children were transitioning outside for gross motor play and seven (7) children were inside with the other caregiver. Space #5, the group of three- to six-year-old children were engaged in a special butterfly release activity outside the fenced in area. The group gathered in a circle outside the fenced to release the butterflies. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and two (2) medications that did not meet requirements. One (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Additional guidance due to Tropical Storm Helene: * The monthly fire drill for October was missed due to Tropical Storm Helene. The facility has resumed monthly fire drills since reopening at their permanent location. * An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The next drill is due by 4/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) Benadryl expired 1/2025. .0803(12) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. .2506(c) 1898 Staff did not complete the health and safety training within one year of employment. While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. .1102(a) Technical assistance was provided as follows: Item 842 In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule Reference: 10A NCAC 09.0803 (1)(a&b) Item 849 In space #3, one (1) Benadryl expired 1/2025. During the visit, the administrator emailed the parent and removed the Benadryl from use. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule reference: 10A NCAC 09 .0803 (12) Item 1422 In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. We discussed when adult tools are not in use, they should be stored in a locked cabinet. Rule reference: 10A NCAC 09 .2506(c) Item 1898 While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. During the visit, the staff member attempted to access the training certificates but was unable to do so due to their account being locked. The staff member contacted NCID regarding her account but was unable to get support. The staff member attempted to reach out to NCID using a different contact number but was unable to obtain support and access to her account. Rule reference: 10A NCAC 09.1102 (a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed a possibility for capacity increase and the process for completing the increase should the facility choose to increase capacity. We also discussed the environmental rating scales, but the facility feels that it will be possibly next year before they would be able to look at going through the scales. We discussed toxic plants and the provider asked if I could provide a resource for them to use to ensure all plants are not toxic. I left a copy of the toxic plant list with the provider. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 45 Completed Date: 4/3/2025 Age: From 2 To 6 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kristy Beaver, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Erin VanNote, Owner/Operator, accompanied me during the visit, and Kristy Beaver, Administrator, assisted me with me with files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 3/18/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 3/18/2025. Permit type – Three (3) Star Rated License, issued 4/30/2024. Special Services/Restrictions – First shift, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/26/2024. The last fire drill was practiced on 3/28/2025. The monthly fire drill for October was missed due to Tropical Storm Helene. The last lockdown drill was practiced on 1/30/2025. An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The last playground inspection was documented on 3/28/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/24/2025 with four (4) demerits for a superior classification. The last lead water testing was conducted on 12/27/2023 and is due 12/27/2026. The lead paint and asbestos testing has been reviewed by RTI. Per RTI the facility is not applicable (N/A) for any hazards. The Emergency Medical Care plan was posted and current. The program does not provide transportation. The facility was closed from 9/27/2024 to 10/31/2025 due to Tropical Storm Helene. The facility re-opened on 10/31/2024 at an emergency relocation site due to the extensive damage the permanent location sustained. On 11/25/2024 the facility was able to re-open at its permanent location. During the visit, I observed the children engaged in group time, transitioning to outdoor play, and outdoor play. Space #3, the group of two and a half- to three-year-old children were transitioning outdoors for gross motor play. While monitoring medications, I observed one (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children nine (9) children were transitioning outside for gross motor play and seven (7) children were inside with the other caregiver. Space #5, the group of three- to six-year-old children were engaged in a special butterfly release activity outside the fenced in area. The group gathered in a circle outside the fenced to release the butterflies. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and two (2) medications that did not meet requirements. One (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Additional guidance due to Tropical Storm Helene: * The monthly fire drill for October was missed due to Tropical Storm Helene. The facility has resumed monthly fire drills since reopening at their permanent location. * An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The next drill is due by 4/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) Benadryl expired 1/2025. .0803(12) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. .2506(c) 1898 Staff did not complete the health and safety training within one year of employment. While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. .1102(a) Technical assistance was provided as follows: Item 842 In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule Reference: 10A NCAC 09.0803 (1)(a&b) Item 849 In space #3, one (1) Benadryl expired 1/2025. During the visit, the administrator emailed the parent and removed the Benadryl from use. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule reference: 10A NCAC 09 .0803 (12) Item 1422 In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. We discussed when adult tools are not in use, they should be stored in a locked cabinet. Rule reference: 10A NCAC 09 .2506(c) Item 1898 While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. During the visit, the staff member attempted to access the training certificates but was unable to do so due to their account being locked. The staff member contacted NCID regarding her account but was unable to get support. The staff member attempted to reach out to NCID using a different contact number but was unable to obtain support and access to her account. Rule reference: 10A NCAC 09.1102 (a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed a possibility for capacity increase and the process for completing the increase should the facility choose to increase capacity. We also discussed the environmental rating scales, but the facility feels that it will be possibly next year before they would be able to look at going through the scales. We discussed toxic plants and the provider asked if I could provide a resource for them to use to ensure all plants are not toxic. I left a copy of the toxic plant list with the provider. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 45 Completed Date: 4/3/2025 Age: From 2 To 6 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kristy Beaver, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Erin VanNote, Owner/Operator, accompanied me during the visit, and Kristy Beaver, Administrator, assisted me with me with files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 3/18/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 3/18/2025. Permit type – Three (3) Star Rated License, issued 4/30/2024. Special Services/Restrictions – First shift, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/26/2024. The last fire drill was practiced on 3/28/2025. The monthly fire drill for October was missed due to Tropical Storm Helene. The last lockdown drill was practiced on 1/30/2025. An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The last playground inspection was documented on 3/28/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/24/2025 with four (4) demerits for a superior classification. The last lead water testing was conducted on 12/27/2023 and is due 12/27/2026. The lead paint and asbestos testing has been reviewed by RTI. Per RTI the facility is not applicable (N/A) for any hazards. The Emergency Medical Care plan was posted and current. The program does not provide transportation. The facility was closed from 9/27/2024 to 10/31/2025 due to Tropical Storm Helene. The facility re-opened on 10/31/2024 at an emergency relocation site due to the extensive damage the permanent location sustained. On 11/25/2024 the facility was able to re-open at its permanent location. During the visit, I observed the children engaged in group time, transitioning to outdoor play, and outdoor play. Space #3, the group of two and a half- to three-year-old children were transitioning outdoors for gross motor play. While monitoring medications, I observed one (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children nine (9) children were transitioning outside for gross motor play and seven (7) children were inside with the other caregiver. Space #5, the group of three- to six-year-old children were engaged in a special butterfly release activity outside the fenced in area. The group gathered in a circle outside the fenced to release the butterflies. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and two (2) medications that did not meet requirements. One (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Additional guidance due to Tropical Storm Helene: * The monthly fire drill for October was missed due to Tropical Storm Helene. The facility has resumed monthly fire drills since reopening at their permanent location. * An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The next drill is due by 4/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) Benadryl expired 1/2025. .0803(12) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. .2506(c) 1898 Staff did not complete the health and safety training within one year of employment. While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. .1102(a) Technical assistance was provided as follows: Item 842 In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule Reference: 10A NCAC 09.0803 (1)(a&b) Item 849 In space #3, one (1) Benadryl expired 1/2025. During the visit, the administrator emailed the parent and removed the Benadryl from use. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule reference: 10A NCAC 09 .0803 (12) Item 1422 In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. We discussed when adult tools are not in use, they should be stored in a locked cabinet. Rule reference: 10A NCAC 09 .2506(c) Item 1898 While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. During the visit, the staff member attempted to access the training certificates but was unable to do so due to their account being locked. The staff member contacted NCID regarding her account but was unable to get support. The staff member attempted to reach out to NCID using a different contact number but was unable to obtain support and access to her account. Rule reference: 10A NCAC 09.1102 (a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed a possibility for capacity increase and the process for completing the increase should the facility choose to increase capacity. We also discussed the environmental rating scales, but the facility feels that it will be possibly next year before they would be able to look at going through the scales. We discussed toxic plants and the provider asked if I could provide a resource for them to use to ensure all plants are not toxic. I left a copy of the toxic plant list with the provider. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 45 Completed Date: 4/3/2025 Age: From 2 To 6 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kristy Beaver, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Erin VanNote, Owner/Operator, accompanied me during the visit, and Kristy Beaver, Administrator, assisted me with me with files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 3/18/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 3/18/2025. Permit type – Three (3) Star Rated License, issued 4/30/2024. Special Services/Restrictions – First shift, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/26/2024. The last fire drill was practiced on 3/28/2025. The monthly fire drill for October was missed due to Tropical Storm Helene. The last lockdown drill was practiced on 1/30/2025. An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The last playground inspection was documented on 3/28/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/24/2025 with four (4) demerits for a superior classification. The last lead water testing was conducted on 12/27/2023 and is due 12/27/2026. The lead paint and asbestos testing has been reviewed by RTI. Per RTI the facility is not applicable (N/A) for any hazards. The Emergency Medical Care plan was posted and current. The program does not provide transportation. The facility was closed from 9/27/2024 to 10/31/2025 due to Tropical Storm Helene. The facility re-opened on 10/31/2024 at an emergency relocation site due to the extensive damage the permanent location sustained. On 11/25/2024 the facility was able to re-open at its permanent location. During the visit, I observed the children engaged in group time, transitioning to outdoor play, and outdoor play. Space #3, the group of two and a half- to three-year-old children were transitioning outdoors for gross motor play. While monitoring medications, I observed one (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children nine (9) children were transitioning outside for gross motor play and seven (7) children were inside with the other caregiver. Space #5, the group of three- to six-year-old children were engaged in a special butterfly release activity outside the fenced in area. The group gathered in a circle outside the fenced to release the butterflies. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and two (2) medications that did not meet requirements. One (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Additional guidance due to Tropical Storm Helene: * The monthly fire drill for October was missed due to Tropical Storm Helene. The facility has resumed monthly fire drills since reopening at their permanent location. * An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The next drill is due by 4/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) Benadryl expired 1/2025. .0803(12) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. .2506(c) 1898 Staff did not complete the health and safety training within one year of employment. While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. .1102(a) Technical assistance was provided as follows: Item 842 In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule Reference: 10A NCAC 09.0803 (1)(a&b) Item 849 In space #3, one (1) Benadryl expired 1/2025. During the visit, the administrator emailed the parent and removed the Benadryl from use. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule reference: 10A NCAC 09 .0803 (12) Item 1422 In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. We discussed when adult tools are not in use, they should be stored in a locked cabinet. Rule reference: 10A NCAC 09 .2506(c) Item 1898 While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. During the visit, the staff member attempted to access the training certificates but was unable to do so due to their account being locked. The staff member contacted NCID regarding her account but was unable to get support. The staff member attempted to reach out to NCID using a different contact number but was unable to obtain support and access to her account. Rule reference: 10A NCAC 09.1102 (a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed a possibility for capacity increase and the process for completing the increase should the facility choose to increase capacity. We also discussed the environmental rating scales, but the facility feels that it will be possibly next year before they would be able to look at going through the scales. We discussed toxic plants and the provider asked if I could provide a resource for them to use to ensure all plants are not toxic. I left a copy of the toxic plant list with the provider. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 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 09.0803 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 45 Completed Date: 4/3/2025 Age: From 2 To 6 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kristy Beaver, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Erin VanNote, Owner/Operator, accompanied me during the visit, and Kristy Beaver, Administrator, assisted me with me with files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 3/18/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 3/18/2025. Permit type – Three (3) Star Rated License, issued 4/30/2024. Special Services/Restrictions – First shift, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/26/2024. The last fire drill was practiced on 3/28/2025. The monthly fire drill for October was missed due to Tropical Storm Helene. The last lockdown drill was practiced on 1/30/2025. An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The last playground inspection was documented on 3/28/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/24/2025 with four (4) demerits for a superior classification. The last lead water testing was conducted on 12/27/2023 and is due 12/27/2026. The lead paint and asbestos testing has been reviewed by RTI. Per RTI the facility is not applicable (N/A) for any hazards. The Emergency Medical Care plan was posted and current. The program does not provide transportation. The facility was closed from 9/27/2024 to 10/31/2025 due to Tropical Storm Helene. The facility re-opened on 10/31/2024 at an emergency relocation site due to the extensive damage the permanent location sustained. On 11/25/2024 the facility was able to re-open at its permanent location. During the visit, I observed the children engaged in group time, transitioning to outdoor play, and outdoor play. Space #3, the group of two and a half- to three-year-old children were transitioning outdoors for gross motor play. While monitoring medications, I observed one (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children nine (9) children were transitioning outside for gross motor play and seven (7) children were inside with the other caregiver. Space #5, the group of three- to six-year-old children were engaged in a special butterfly release activity outside the fenced in area. The group gathered in a circle outside the fenced to release the butterflies. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and two (2) medications that did not meet requirements. One (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Additional guidance due to Tropical Storm Helene: * The monthly fire drill for October was missed due to Tropical Storm Helene. The facility has resumed monthly fire drills since reopening at their permanent location. * An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The next drill is due by 4/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) Benadryl expired 1/2025. .0803(12) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. .2506(c) 1898 Staff did not complete the health and safety training within one year of employment. While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. .1102(a) Technical assistance was provided as follows: Item 842 In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule Reference: 10A NCAC 09.0803 (1)(a&b) Item 849 In space #3, one (1) Benadryl expired 1/2025. During the visit, the administrator emailed the parent and removed the Benadryl from use. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule reference: 10A NCAC 09 .0803 (12) Item 1422 In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. We discussed when adult tools are not in use, they should be stored in a locked cabinet. Rule reference: 10A NCAC 09 .2506(c) Item 1898 While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. During the visit, the staff member attempted to access the training certificates but was unable to do so due to their account being locked. The staff member contacted NCID regarding her account but was unable to get support. The staff member attempted to reach out to NCID using a different contact number but was unable to obtain support and access to her account. Rule reference: 10A NCAC 09.1102 (a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed a possibility for capacity increase and the process for completing the increase should the facility choose to increase capacity. We also discussed the environmental rating scales, but the facility feels that it will be possibly next year before they would be able to look at going through the scales. We discussed toxic plants and the provider asked if I could provide a resource for them to use to ensure all plants are not toxic. I left a copy of the toxic plant list with the provider. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 45 Completed Date: 4/3/2025 Age: From 2 To 6 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kristy Beaver, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Erin VanNote, Owner/Operator, accompanied me during the visit, and Kristy Beaver, Administrator, assisted me with me with files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 3/18/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 3/18/2025. Permit type – Three (3) Star Rated License, issued 4/30/2024. Special Services/Restrictions – First shift, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/26/2024. The last fire drill was practiced on 3/28/2025. The monthly fire drill for October was missed due to Tropical Storm Helene. The last lockdown drill was practiced on 1/30/2025. An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The last playground inspection was documented on 3/28/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/24/2025 with four (4) demerits for a superior classification. The last lead water testing was conducted on 12/27/2023 and is due 12/27/2026. The lead paint and asbestos testing has been reviewed by RTI. Per RTI the facility is not applicable (N/A) for any hazards. The Emergency Medical Care plan was posted and current. The program does not provide transportation. The facility was closed from 9/27/2024 to 10/31/2025 due to Tropical Storm Helene. The facility re-opened on 10/31/2024 at an emergency relocation site due to the extensive damage the permanent location sustained. On 11/25/2024 the facility was able to re-open at its permanent location. During the visit, I observed the children engaged in group time, transitioning to outdoor play, and outdoor play. Space #3, the group of two and a half- to three-year-old children were transitioning outdoors for gross motor play. While monitoring medications, I observed one (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children nine (9) children were transitioning outside for gross motor play and seven (7) children were inside with the other caregiver. Space #5, the group of three- to six-year-old children were engaged in a special butterfly release activity outside the fenced in area. The group gathered in a circle outside the fenced to release the butterflies. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and two (2) medications that did not meet requirements. One (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Additional guidance due to Tropical Storm Helene: * The monthly fire drill for October was missed due to Tropical Storm Helene. The facility has resumed monthly fire drills since reopening at their permanent location. * An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The next drill is due by 4/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) Benadryl expired 1/2025. .0803(12) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. .2506(c) 1898 Staff did not complete the health and safety training within one year of employment. While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. .1102(a) Technical assistance was provided as follows: Item 842 In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule Reference: 10A NCAC 09.0803 (1)(a&b) Item 849 In space #3, one (1) Benadryl expired 1/2025. During the visit, the administrator emailed the parent and removed the Benadryl from use. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule reference: 10A NCAC 09 .0803 (12) Item 1422 In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. We discussed when adult tools are not in use, they should be stored in a locked cabinet. Rule reference: 10A NCAC 09 .2506(c) Item 1898 While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. During the visit, the staff member attempted to access the training certificates but was unable to do so due to their account being locked. The staff member contacted NCID regarding her account but was unable to get support. The staff member attempted to reach out to NCID using a different contact number but was unable to obtain support and access to her account. Rule reference: 10A NCAC 09.1102 (a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed a possibility for capacity increase and the process for completing the increase should the facility choose to increase capacity. We also discussed the environmental rating scales, but the facility feels that it will be possibly next year before they would be able to look at going through the scales. We discussed toxic plants and the provider asked if I could provide a resource for them to use to ensure all plants are not toxic. I left a copy of the toxic plant list with the provider. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 45 Completed Date: 4/3/2025 Age: From 2 To 6 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kristy Beaver, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Erin VanNote, Owner/Operator, accompanied me during the visit, and Kristy Beaver, Administrator, assisted me with me with files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 3/18/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 3/18/2025. Permit type – Three (3) Star Rated License, issued 4/30/2024. Special Services/Restrictions – First shift, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/26/2024. The last fire drill was practiced on 3/28/2025. The monthly fire drill for October was missed due to Tropical Storm Helene. The last lockdown drill was practiced on 1/30/2025. An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The last playground inspection was documented on 3/28/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/24/2025 with four (4) demerits for a superior classification. The last lead water testing was conducted on 12/27/2023 and is due 12/27/2026. The lead paint and asbestos testing has been reviewed by RTI. Per RTI the facility is not applicable (N/A) for any hazards. The Emergency Medical Care plan was posted and current. The program does not provide transportation. The facility was closed from 9/27/2024 to 10/31/2025 due to Tropical Storm Helene. The facility re-opened on 10/31/2024 at an emergency relocation site due to the extensive damage the permanent location sustained. On 11/25/2024 the facility was able to re-open at its permanent location. During the visit, I observed the children engaged in group time, transitioning to outdoor play, and outdoor play. Space #3, the group of two and a half- to three-year-old children were transitioning outdoors for gross motor play. While monitoring medications, I observed one (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children nine (9) children were transitioning outside for gross motor play and seven (7) children were inside with the other caregiver. Space #5, the group of three- to six-year-old children were engaged in a special butterfly release activity outside the fenced in area. The group gathered in a circle outside the fenced to release the butterflies. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and two (2) medications that did not meet requirements. One (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Additional guidance due to Tropical Storm Helene: * The monthly fire drill for October was missed due to Tropical Storm Helene. The facility has resumed monthly fire drills since reopening at their permanent location. * An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The next drill is due by 4/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) Benadryl expired 1/2025. .0803(12) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. .2506(c) 1898 Staff did not complete the health and safety training within one year of employment. While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. .1102(a) Technical assistance was provided as follows: Item 842 In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule Reference: 10A NCAC 09.0803 (1)(a&b) Item 849 In space #3, one (1) Benadryl expired 1/2025. During the visit, the administrator emailed the parent and removed the Benadryl from use. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule reference: 10A NCAC 09 .0803 (12) Item 1422 In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. We discussed when adult tools are not in use, they should be stored in a locked cabinet. Rule reference: 10A NCAC 09 .2506(c) Item 1898 While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. During the visit, the staff member attempted to access the training certificates but was unable to do so due to their account being locked. The staff member contacted NCID regarding her account but was unable to get support. The staff member attempted to reach out to NCID using a different contact number but was unable to obtain support and access to her account. Rule reference: 10A NCAC 09.1102 (a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed a possibility for capacity increase and the process for completing the increase should the facility choose to increase capacity. We also discussed the environmental rating scales, but the facility feels that it will be possibly next year before they would be able to look at going through the scales. We discussed toxic plants and the provider asked if I could provide a resource for them to use to ensure all plants are not toxic. I left a copy of the toxic plant list with the provider. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/3/2025 Number Present: 45 Completed Date: 4/3/2025 Age: From 2 To 6 Total Minutes: 285 Time In: 10:00 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kristy Beaver, Administrator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Erin VanNote, Owner/Operator, accompanied me during the visit, and Kristy Beaver, Administrator, assisted me with me with files. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 3/18/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 3/18/2025. Permit type – Three (3) Star Rated License, issued 4/30/2024. Special Services/Restrictions – First shift, meets enhanced space, children under 2 ½ years old in rooms with direct exits only. The last annual compliance visit was conducted on 4/26/2024. The last fire drill was practiced on 3/28/2025. The monthly fire drill for October was missed due to Tropical Storm Helene. The last lockdown drill was practiced on 1/30/2025. An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The last playground inspection was documented on 3/28/2025. The last fire inspection was approved on 8/12/2024. The last sanitation inspection was conducted on 1/24/2025 with four (4) demerits for a superior classification. The last lead water testing was conducted on 12/27/2023 and is due 12/27/2026. The lead paint and asbestos testing has been reviewed by RTI. Per RTI the facility is not applicable (N/A) for any hazards. The Emergency Medical Care plan was posted and current. The program does not provide transportation. The facility was closed from 9/27/2024 to 10/31/2025 due to Tropical Storm Helene. The facility re-opened on 10/31/2024 at an emergency relocation site due to the extensive damage the permanent location sustained. On 11/25/2024 the facility was able to re-open at its permanent location. During the visit, I observed the children engaged in group time, transitioning to outdoor play, and outdoor play. Space #3, the group of two and a half- to three-year-old children were transitioning outdoors for gross motor play. While monitoring medications, I observed one (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children nine (9) children were transitioning outside for gross motor play and seven (7) children were inside with the other caregiver. Space #5, the group of three- to six-year-old children were engaged in a special butterfly release activity outside the fenced in area. The group gathered in a circle outside the fenced to release the butterflies. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and two (2) medications that did not meet requirements. One (1) Benadryl expired 1/2025 and one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. Additional guidance due to Tropical Storm Helene: * The monthly fire drill for October was missed due to Tropical Storm Helene. The facility has resumed monthly fire drills since reopening at their permanent location. * An emergency drill was not completed every three (3) months due to Tropical Storm Helene. The previous drill was completed 7/19/2024. The next drill was due in October, but due to Tropical Storm Helene the drill was not completed until January. The next drill is due by 4/30/2025. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. 10A NCAC 09 .0803(1)(a & b) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space #3, one (1) Benadryl expired 1/2025. .0803(12) 1422 Potentially hazardous items such as archery equipment, hand and power tools, nails, chemicals, or propane stoves, were not stored in locked areas or with other safeguards, or removed from the premises. In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. .2506(c) 1898 Staff did not complete the health and safety training within one year of employment. While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. .1102(a) Technical assistance was provided as follows: Item 842 In space #3, one (1) Epi Pen did not have a permission to administer medication form completed and on file. The administrator emailed the parent during the visit and moved the medication to the office to be housed until the medication can be returned to the parent. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule Reference: 10A NCAC 09.0803 (1)(a&b) Item 849 In space #3, one (1) Benadryl expired 1/2025. During the visit, the administrator emailed the parent and removed the Benadryl from use. We discussed conducting a monthly medication check to ensure that all medication and medication forms are in compliance. Rule reference: 10A NCAC 09 .0803 (12) Item 1422 In the gym, one (1) adult screwdriver and power tool was observed unlocked on the stage. We discussed when adult tools are not in use, they should be stored in a locked cabinet. Rule reference: 10A NCAC 09 .2506(c) Item 1898 While reviewing staff files, I observed that staff member hired 2/5/2024 health and safety training topics were not completed within the first year of employment. During the visit, the staff member attempted to access the training certificates but was unable to do so due to their account being locked. The staff member contacted NCID regarding her account but was unable to get support. The staff member attempted to reach out to NCID using a different contact number but was unable to obtain support and access to her account. Rule reference: 10A NCAC 09.1102 (a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/17/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: During the visit, we discussed a possibility for capacity increase and the process for completing the increase should the facility choose to increase capacity. We also discussed the environmental rating scales, but the facility feels that it will be possibly next year before they would be able to look at going through the scales. We discussed toxic plants and the provider asked if I could provide a resource for them to use to ensure all plants are not toxic. I left a copy of the toxic plant list with the provider. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 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 .0102 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with 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 .0801 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with 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 .0803 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/26/2024 Number Present: 34 Completed Date: 4/26/2024 Age: From 2 To 6 Total Minutes: 240 Time In: 09:45 AM Time Out: 01:45 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 unannounced visit was to monitor compliance with applicable child care requirements for an annual compliance visit and to complete a rated license assessment. Kristy Beaver, Administrator, was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four percent (84%) as of 4/24/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 4/24/2024. The facility currently operates with a One (1) star license, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 1/2) years old in rooms with direct exits only. The last annual compliance visit was conducted on 10/23/2023. The last fire drill was practiced on 3/29/2024. The last shelter-in-place drill was practiced on 4/25/2024. The last playground inspection was documented on 3/29/2024. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2024 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The Emergency Medical Care plan was last updated and reviewed on 9/1/2023. Transportation is not provided. During the visit, I observed the children engaged in group time, transitioning to outdoor play, outdoor play, and indoor gross motor play. Space #3, the group of two to three year old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch and nap. Space #2, the before care, after care, and nap room no children were present. Space #1, the group of three- to six-year-old children were engaged in outdoor gross motor play with sand, tires, climbers, and the mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to finish gross motor play indoors in the gym. In the gym, the children engaged in play with the tumbling mats, coupe cars, trikes, and dollhouse. After gross motor play, the group transitioned to wash hands and prepare for lunch. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication for expired on 3/1/2024 for a child that was enrolled on 9/20/2021. Space #5, the group of three- to six-year-old children were engaged in group time music. While monitoring medications, I observed one (1) Ventolin inhaler permission to administer medication form expired on 2/1/2024 and the medical action plan expired on 2/2/24 for a child that was enrolled on 8/16/2022. After group time, the group prepared to go outside by putting on their rain suits and transitioned outdoors for gross motor play. Once outside, the children engaged in playing with the sand, tires, climbers, and mud kitchen. When it began to rain and the children were saying they were cold, the staff brought the children indoors to wash hands and prepare for lunch. Space #6, the therapist room no children were present. Space #4, the gym there were no children present. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. All medications were monitored and four (4) medications that did not meet requirements. During the visit, one (1) new staff and one (1) existing staff files and five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. .0604(u);.0302(d)(8) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. .0605(k)(1-4) Technical assistance was provided as follows: Item 705 Equipment and furnishings were not sturdy, stable and free of hazards. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. - In the gym, two (2) trikes showed signs of poor repair. The plastic wheel guard was broken with sharp edges and potential pinch hazard. I recommend conducting a daily equipment check prior to use to remove any items showing signs of wear and tear. Item 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. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. - In space # 1, one (1) Ventolin inhaler permission to administer medication form expired on 3/1/2024. In space # 5, one (1) Ventolin inhaler permission to administer medication form expired on 2/2/2024, and one (1) Think Baby sunscreen expired 11/2022. In the hallway bathroom, one (1) tube of Buttpaste expired 2/2024 and the permission to administer medication form expired on 3/20/2024. I recommend conducting a monthly medication check to ensure all medication and permission forms are in date. 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). - Shelter in place or lockdown drills were not practiced every three (3) months. A four (4) month span was documented between the 9/22/2023 and 1/22/2024 emergency drills. I recommend pre-planning and documenting the emergency drills on your calendar to ensure drills are conducted every three (3) months. Item 1835 The medical action plan did not contain the required information and/or was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; - In space # 5, One (1) child enrolled on 8/16/2022 medical action plan for an inhaler expired on 2/2/2024. I recommend conducting a monthly medication check to ensure all medication, permission forms, and action plan are in date. Item 1867 The depth of the loose surfacing was not based on critical height of the equipment. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. - Outdoors, the surfacing was low in the fall zones around the climbing structures. The owner stated that they are aware that the surfacing is low, and mulch has been ordered. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/10/2024. 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. Rated License Information: 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. Black Mountain Montessori is currently not in a cohort due to holding a one (1) star license. Erin VanNote, Owner has voluntarily elected to apply for an initial star rated license based on an education assessment. You submitted your application for initial assessment March 28, 2024. Your new 3 Star License is based on the following: Education – Points are earned based on the lowest level of education for any one position. The Administrator has the NCECAC Level III + four (4) years’ experience. The facility has three (3) required lead teachers. Each of them has the NCECC and fifty percent (50%) of them have completed at least nine (9) semester hours in EC/CD, are enrolled in three additional semester hours, and have three (3) years of experience in child care, earning three points. The facility has four (4) teachers. Fifty percent (50%) of them have NCECC. Based on the information noted above, your program earned four (4) points in the Education component. Program Standards – The program meets enhanced space and all other applicable requirements for enhanced standards. Based on the information noted, your program earned two (2) points in the program component. Quality Point – You have chosen to meet the Programmatic Option: Providing staff benefits and family infrastructure. I verified the staff benefit and family infrastructure, therefore your program earned 1 Quality Point. Total – 4 + 2 + 1 = 7 = 3 Star License. A new license will be mailed directly to you and must be posted upon receipt. At that time, return the old license to me as it remains the property of the State of North Carolina. Ms. VanNote has expressed an interest in having the environmental rating scales assessment conducted in the future. Since you want to have expressed an interest in having the Environment Rating Scale conducted, I recommended you visit www.ncrlap.org for supplemental materials for preparing for the Environment Rating Scale Assessments. Additional notes to the Early Childhood Environment Rating Scale Revised Edition can be obtained on this website. NCRLAP also offers Webinar trainings for staff. Consultation is provided as follows: Today, we discussed the following: - Reaching out to your local Child Care Resource and Referral Agency. - Staff member hired 2/5/24 criminal background check qualifying letter will expire 10/29/2024. - Staff member hired 8/9/2022 First Aid and CPR training will expire 9/2024. - Staff member hired 8/8/2023 First Aid and CPR training will expire 7/2024. - Staff member hired 8/30/2021 First Aid and CPR training will expire 10/2024. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Erin VanNote, Owner, during the visit. A signed copy of the visit summary was left on-site with 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 32 Completed Date: 10/26/2023 Age: From 2 To 6 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. Kristy Beaver and Erin VanNote, Administrators, were on-site and available during the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kristy Beaver, and Erin VanNote, Administrators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 10/20/2023 and reviewed with the administrator during the visit. The facilities compliance history was eighty percent (80%). The North Carolina Secretary of State website was viewed prior to the visit. The Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 10/20/2023. The facility operates with a One (1) Star Rated License, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 ½) years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/9/2022. The last fire drill was practiced on 10/24/2023. The last lockdown drill was practiced on 9/22/2023. The last playground inspection was documented on 10/24/2023. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2023 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. Upon arrival, I was greeted by Ms. VanNote. In space #3, the group of two- to three-year-old children were engaged in gross motor play outdoors. In space #2, the before care, after care, and nap room no children were present. I observed the arrival and departure sign in sheet not completed for 10/26/2023. In space #1, the group of three- to six-year-olds were engaged in free play with blocks, shapes, drawing, and the plant life cycle activity. In space #5, the group of three- to six-year-old children were transitioning to the restroom and outdoors for gross motor play. In space #6, the therapist room, there were no children present in the space and requirements were being met. In space #4, the gym there were no children present in the space. All staff interactions were positive and nurturing. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. The program does not provide transportation. All medications were monitored and meets requirements. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed a hole in the ground in front of the storage building located on the playground. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; - The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. I suggested to have a designated area for the arrival and departure sheet to hung so that the parents/guardians can sign the children in as they drop the child off at the facility. Then have the staff to verify that each child was signed in at their appropriate drop off time to ensure the documentation is correct. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, I observed a hole in the ground in front of the storage building located on the playground. I suggested to fill in the hole with dirt, mulch, or sand to prevent any child or adult from falling and getting injured. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. I suggested adding fence extenders to the top of the fence to create a more permanent fix. The administrator stated that she would look into a type of fence extender to add to the top of the fence. 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 11/9/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three (3) to five (5) days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - Increasing the capacity for the facility. The updated application was received via email from Erin Van Note on 10/25/2023. - Rated License and the facility wanting to increase their star rating. When the facility is ready, they will reach out to me for further guidance. - Documentation of Orientation, I suggested that you document the month, day, and year the training topic was completed. - Emergency Medications, I stated that chronic medications need to be stored in the original medication packaging with the pharmacy label. - Plastics, I stated that plastic wipe packaging, grocery bags, Ziploc bags and any plastic easily torn packaging must be stored inaccessible to children under three years old. - Health Questionnaire and medical information, I stated needs to be stored in a separately in a confidential file. - On-going training hours, I clarified that on-going training hours go from employment date to their anniversary date the next year. 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. 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 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 32 Completed Date: 10/26/2023 Age: From 2 To 6 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. Kristy Beaver and Erin VanNote, Administrators, were on-site and available during the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kristy Beaver, and Erin VanNote, Administrators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 10/20/2023 and reviewed with the administrator during the visit. The facilities compliance history was eighty percent (80%). The North Carolina Secretary of State website was viewed prior to the visit. The Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 10/20/2023. The facility operates with a One (1) Star Rated License, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 ½) years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/9/2022. The last fire drill was practiced on 10/24/2023. The last lockdown drill was practiced on 9/22/2023. The last playground inspection was documented on 10/24/2023. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2023 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. Upon arrival, I was greeted by Ms. VanNote. In space #3, the group of two- to three-year-old children were engaged in gross motor play outdoors. In space #2, the before care, after care, and nap room no children were present. I observed the arrival and departure sign in sheet not completed for 10/26/2023. In space #1, the group of three- to six-year-olds were engaged in free play with blocks, shapes, drawing, and the plant life cycle activity. In space #5, the group of three- to six-year-old children were transitioning to the restroom and outdoors for gross motor play. In space #6, the therapist room, there were no children present in the space and requirements were being met. In space #4, the gym there were no children present in the space. All staff interactions were positive and nurturing. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. The program does not provide transportation. All medications were monitored and meets requirements. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed a hole in the ground in front of the storage building located on the playground. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; - The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. I suggested to have a designated area for the arrival and departure sheet to hung so that the parents/guardians can sign the children in as they drop the child off at the facility. Then have the staff to verify that each child was signed in at their appropriate drop off time to ensure the documentation is correct. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, I observed a hole in the ground in front of the storage building located on the playground. I suggested to fill in the hole with dirt, mulch, or sand to prevent any child or adult from falling and getting injured. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. I suggested adding fence extenders to the top of the fence to create a more permanent fix. The administrator stated that she would look into a type of fence extender to add to the top of the fence. 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 11/9/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three (3) to five (5) days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - Increasing the capacity for the facility. The updated application was received via email from Erin Van Note on 10/25/2023. - Rated License and the facility wanting to increase their star rating. When the facility is ready, they will reach out to me for further guidance. - Documentation of Orientation, I suggested that you document the month, day, and year the training topic was completed. - Emergency Medications, I stated that chronic medications need to be stored in the original medication packaging with the pharmacy label. - Plastics, I stated that plastic wipe packaging, grocery bags, Ziploc bags and any plastic easily torn packaging must be stored inaccessible to children under three years old. - Health Questionnaire and medical information, I stated needs to be stored in a separately in a confidential file. - On-going training hours, I clarified that on-going training hours go from employment date to their anniversary date the next year. 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. 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 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 32 Completed Date: 10/26/2023 Age: From 2 To 6 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. Kristy Beaver and Erin VanNote, Administrators, were on-site and available during the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kristy Beaver, and Erin VanNote, Administrators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 10/20/2023 and reviewed with the administrator during the visit. The facilities compliance history was eighty percent (80%). The North Carolina Secretary of State website was viewed prior to the visit. The Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 10/20/2023. The facility operates with a One (1) Star Rated License, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 ½) years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/9/2022. The last fire drill was practiced on 10/24/2023. The last lockdown drill was practiced on 9/22/2023. The last playground inspection was documented on 10/24/2023. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2023 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. Upon arrival, I was greeted by Ms. VanNote. In space #3, the group of two- to three-year-old children were engaged in gross motor play outdoors. In space #2, the before care, after care, and nap room no children were present. I observed the arrival and departure sign in sheet not completed for 10/26/2023. In space #1, the group of three- to six-year-olds were engaged in free play with blocks, shapes, drawing, and the plant life cycle activity. In space #5, the group of three- to six-year-old children were transitioning to the restroom and outdoors for gross motor play. In space #6, the therapist room, there were no children present in the space and requirements were being met. In space #4, the gym there were no children present in the space. All staff interactions were positive and nurturing. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. The program does not provide transportation. All medications were monitored and meets requirements. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed a hole in the ground in front of the storage building located on the playground. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; - The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. I suggested to have a designated area for the arrival and departure sheet to hung so that the parents/guardians can sign the children in as they drop the child off at the facility. Then have the staff to verify that each child was signed in at their appropriate drop off time to ensure the documentation is correct. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, I observed a hole in the ground in front of the storage building located on the playground. I suggested to fill in the hole with dirt, mulch, or sand to prevent any child or adult from falling and getting injured. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. I suggested adding fence extenders to the top of the fence to create a more permanent fix. The administrator stated that she would look into a type of fence extender to add to the top of the fence. 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 11/9/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three (3) to five (5) days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - Increasing the capacity for the facility. The updated application was received via email from Erin Van Note on 10/25/2023. - Rated License and the facility wanting to increase their star rating. When the facility is ready, they will reach out to me for further guidance. - Documentation of Orientation, I suggested that you document the month, day, and year the training topic was completed. - Emergency Medications, I stated that chronic medications need to be stored in the original medication packaging with the pharmacy label. - Plastics, I stated that plastic wipe packaging, grocery bags, Ziploc bags and any plastic easily torn packaging must be stored inaccessible to children under three years old. - Health Questionnaire and medical information, I stated needs to be stored in a separately in a confidential file. - On-going training hours, I clarified that on-going training hours go from employment date to their anniversary date the next year. 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. 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 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 32 Completed Date: 10/26/2023 Age: From 2 To 6 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. Kristy Beaver and Erin VanNote, Administrators, were on-site and available during the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kristy Beaver, and Erin VanNote, Administrators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 10/20/2023 and reviewed with the administrator during the visit. The facilities compliance history was eighty percent (80%). The North Carolina Secretary of State website was viewed prior to the visit. The Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 10/20/2023. The facility operates with a One (1) Star Rated License, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 ½) years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/9/2022. The last fire drill was practiced on 10/24/2023. The last lockdown drill was practiced on 9/22/2023. The last playground inspection was documented on 10/24/2023. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2023 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. Upon arrival, I was greeted by Ms. VanNote. In space #3, the group of two- to three-year-old children were engaged in gross motor play outdoors. In space #2, the before care, after care, and nap room no children were present. I observed the arrival and departure sign in sheet not completed for 10/26/2023. In space #1, the group of three- to six-year-olds were engaged in free play with blocks, shapes, drawing, and the plant life cycle activity. In space #5, the group of three- to six-year-old children were transitioning to the restroom and outdoors for gross motor play. In space #6, the therapist room, there were no children present in the space and requirements were being met. In space #4, the gym there were no children present in the space. All staff interactions were positive and nurturing. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. The program does not provide transportation. All medications were monitored and meets requirements. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed a hole in the ground in front of the storage building located on the playground. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; - The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. I suggested to have a designated area for the arrival and departure sheet to hung so that the parents/guardians can sign the children in as they drop the child off at the facility. Then have the staff to verify that each child was signed in at their appropriate drop off time to ensure the documentation is correct. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, I observed a hole in the ground in front of the storage building located on the playground. I suggested to fill in the hole with dirt, mulch, or sand to prevent any child or adult from falling and getting injured. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. I suggested adding fence extenders to the top of the fence to create a more permanent fix. The administrator stated that she would look into a type of fence extender to add to the top of the fence. 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 11/9/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three (3) to five (5) days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - Increasing the capacity for the facility. The updated application was received via email from Erin Van Note on 10/25/2023. - Rated License and the facility wanting to increase their star rating. When the facility is ready, they will reach out to me for further guidance. - Documentation of Orientation, I suggested that you document the month, day, and year the training topic was completed. - Emergency Medications, I stated that chronic medications need to be stored in the original medication packaging with the pharmacy label. - Plastics, I stated that plastic wipe packaging, grocery bags, Ziploc bags and any plastic easily torn packaging must be stored inaccessible to children under three years old. - Health Questionnaire and medical information, I stated needs to be stored in a separately in a confidential file. - On-going training hours, I clarified that on-going training hours go from employment date to their anniversary date the next year. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 32 Completed Date: 10/26/2023 Age: From 2 To 6 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. Kristy Beaver and Erin VanNote, Administrators, were on-site and available during the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kristy Beaver, and Erin VanNote, Administrators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 10/20/2023 and reviewed with the administrator during the visit. The facilities compliance history was eighty percent (80%). The North Carolina Secretary of State website was viewed prior to the visit. The Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 10/20/2023. The facility operates with a One (1) Star Rated License, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 ½) years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/9/2022. The last fire drill was practiced on 10/24/2023. The last lockdown drill was practiced on 9/22/2023. The last playground inspection was documented on 10/24/2023. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2023 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. Upon arrival, I was greeted by Ms. VanNote. In space #3, the group of two- to three-year-old children were engaged in gross motor play outdoors. In space #2, the before care, after care, and nap room no children were present. I observed the arrival and departure sign in sheet not completed for 10/26/2023. In space #1, the group of three- to six-year-olds were engaged in free play with blocks, shapes, drawing, and the plant life cycle activity. In space #5, the group of three- to six-year-old children were transitioning to the restroom and outdoors for gross motor play. In space #6, the therapist room, there were no children present in the space and requirements were being met. In space #4, the gym there were no children present in the space. All staff interactions were positive and nurturing. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. The program does not provide transportation. All medications were monitored and meets requirements. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed a hole in the ground in front of the storage building located on the playground. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; - The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. I suggested to have a designated area for the arrival and departure sheet to hung so that the parents/guardians can sign the children in as they drop the child off at the facility. Then have the staff to verify that each child was signed in at their appropriate drop off time to ensure the documentation is correct. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, I observed a hole in the ground in front of the storage building located on the playground. I suggested to fill in the hole with dirt, mulch, or sand to prevent any child or adult from falling and getting injured. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. I suggested adding fence extenders to the top of the fence to create a more permanent fix. The administrator stated that she would look into a type of fence extender to add to the top of the fence. 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 11/9/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three (3) to five (5) days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - Increasing the capacity for the facility. The updated application was received via email from Erin Van Note on 10/25/2023. - Rated License and the facility wanting to increase their star rating. When the facility is ready, they will reach out to me for further guidance. - Documentation of Orientation, I suggested that you document the month, day, and year the training topic was completed. - Emergency Medications, I stated that chronic medications need to be stored in the original medication packaging with the pharmacy label. - Plastics, I stated that plastic wipe packaging, grocery bags, Ziploc bags and any plastic easily torn packaging must be stored inaccessible to children under three years old. - Health Questionnaire and medical information, I stated needs to be stored in a separately in a confidential file. - On-going training hours, I clarified that on-going training hours go from employment date to their anniversary date the next year. 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. 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 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 32 Completed Date: 10/26/2023 Age: From 2 To 6 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. Kristy Beaver and Erin VanNote, Administrators, were on-site and available during the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kristy Beaver, and Erin VanNote, Administrators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 10/20/2023 and reviewed with the administrator during the visit. The facilities compliance history was eighty percent (80%). The North Carolina Secretary of State website was viewed prior to the visit. The Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 10/20/2023. The facility operates with a One (1) Star Rated License, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 ½) years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/9/2022. The last fire drill was practiced on 10/24/2023. The last lockdown drill was practiced on 9/22/2023. The last playground inspection was documented on 10/24/2023. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2023 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. Upon arrival, I was greeted by Ms. VanNote. In space #3, the group of two- to three-year-old children were engaged in gross motor play outdoors. In space #2, the before care, after care, and nap room no children were present. I observed the arrival and departure sign in sheet not completed for 10/26/2023. In space #1, the group of three- to six-year-olds were engaged in free play with blocks, shapes, drawing, and the plant life cycle activity. In space #5, the group of three- to six-year-old children were transitioning to the restroom and outdoors for gross motor play. In space #6, the therapist room, there were no children present in the space and requirements were being met. In space #4, the gym there were no children present in the space. All staff interactions were positive and nurturing. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. The program does not provide transportation. All medications were monitored and meets requirements. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed a hole in the ground in front of the storage building located on the playground. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; - The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. I suggested to have a designated area for the arrival and departure sheet to hung so that the parents/guardians can sign the children in as they drop the child off at the facility. Then have the staff to verify that each child was signed in at their appropriate drop off time to ensure the documentation is correct. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, I observed a hole in the ground in front of the storage building located on the playground. I suggested to fill in the hole with dirt, mulch, or sand to prevent any child or adult from falling and getting injured. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. I suggested adding fence extenders to the top of the fence to create a more permanent fix. The administrator stated that she would look into a type of fence extender to add to the top of the fence. 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 11/9/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three (3) to five (5) days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - Increasing the capacity for the facility. The updated application was received via email from Erin Van Note on 10/25/2023. - Rated License and the facility wanting to increase their star rating. When the facility is ready, they will reach out to me for further guidance. - Documentation of Orientation, I suggested that you document the month, day, and year the training topic was completed. - Emergency Medications, I stated that chronic medications need to be stored in the original medication packaging with the pharmacy label. - Plastics, I stated that plastic wipe packaging, grocery bags, Ziploc bags and any plastic easily torn packaging must be stored inaccessible to children under three years old. - Health Questionnaire and medical information, I stated needs to be stored in a separately in a confidential file. - On-going training hours, I clarified that on-going training hours go from employment date to their anniversary date the next year. 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. 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 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: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 32 Completed Date: 10/26/2023 Age: From 2 To 6 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. Kristy Beaver and Erin VanNote, Administrators, were on-site and available during the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kristy Beaver, and Erin VanNote, Administrators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 10/20/2023 and reviewed with the administrator during the visit. The facilities compliance history was eighty percent (80%). The North Carolina Secretary of State website was viewed prior to the visit. The Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 10/20/2023. The facility operates with a One (1) Star Rated License, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 ½) years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/9/2022. The last fire drill was practiced on 10/24/2023. The last lockdown drill was practiced on 9/22/2023. The last playground inspection was documented on 10/24/2023. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2023 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. Upon arrival, I was greeted by Ms. VanNote. In space #3, the group of two- to three-year-old children were engaged in gross motor play outdoors. In space #2, the before care, after care, and nap room no children were present. I observed the arrival and departure sign in sheet not completed for 10/26/2023. In space #1, the group of three- to six-year-olds were engaged in free play with blocks, shapes, drawing, and the plant life cycle activity. In space #5, the group of three- to six-year-old children were transitioning to the restroom and outdoors for gross motor play. In space #6, the therapist room, there were no children present in the space and requirements were being met. In space #4, the gym there were no children present in the space. All staff interactions were positive and nurturing. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. The program does not provide transportation. All medications were monitored and meets requirements. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed a hole in the ground in front of the storage building located on the playground. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; - The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. I suggested to have a designated area for the arrival and departure sheet to hung so that the parents/guardians can sign the children in as they drop the child off at the facility. Then have the staff to verify that each child was signed in at their appropriate drop off time to ensure the documentation is correct. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, I observed a hole in the ground in front of the storage building located on the playground. I suggested to fill in the hole with dirt, mulch, or sand to prevent any child or adult from falling and getting injured. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. I suggested adding fence extenders to the top of the fence to create a more permanent fix. The administrator stated that she would look into a type of fence extender to add to the top of the fence. 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 11/9/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three (3) to five (5) days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - Increasing the capacity for the facility. The updated application was received via email from Erin Van Note on 10/25/2023. - Rated License and the facility wanting to increase their star rating. When the facility is ready, they will reach out to me for further guidance. - Documentation of Orientation, I suggested that you document the month, day, and year the training topic was completed. - Emergency Medications, I stated that chronic medications need to be stored in the original medication packaging with the pharmacy label. - Plastics, I stated that plastic wipe packaging, grocery bags, Ziploc bags and any plastic easily torn packaging must be stored inaccessible to children under three years old. - Health Questionnaire and medical information, I stated needs to be stored in a separately in a confidential file. - On-going training hours, I clarified that on-going training hours go from employment date to their anniversary date the next year. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 32 Completed Date: 10/26/2023 Age: From 2 To 6 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. Kristy Beaver and Erin VanNote, Administrators, were on-site and available during the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kristy Beaver, and Erin VanNote, Administrators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 10/20/2023 and reviewed with the administrator during the visit. The facilities compliance history was eighty percent (80%). The North Carolina Secretary of State website was viewed prior to the visit. The Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 10/20/2023. The facility operates with a One (1) Star Rated License, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 ½) years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/9/2022. The last fire drill was practiced on 10/24/2023. The last lockdown drill was practiced on 9/22/2023. The last playground inspection was documented on 10/24/2023. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2023 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. Upon arrival, I was greeted by Ms. VanNote. In space #3, the group of two- to three-year-old children were engaged in gross motor play outdoors. In space #2, the before care, after care, and nap room no children were present. I observed the arrival and departure sign in sheet not completed for 10/26/2023. In space #1, the group of three- to six-year-olds were engaged in free play with blocks, shapes, drawing, and the plant life cycle activity. In space #5, the group of three- to six-year-old children were transitioning to the restroom and outdoors for gross motor play. In space #6, the therapist room, there were no children present in the space and requirements were being met. In space #4, the gym there were no children present in the space. All staff interactions were positive and nurturing. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. The program does not provide transportation. All medications were monitored and meets requirements. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed a hole in the ground in front of the storage building located on the playground. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; - The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. I suggested to have a designated area for the arrival and departure sheet to hung so that the parents/guardians can sign the children in as they drop the child off at the facility. Then have the staff to verify that each child was signed in at their appropriate drop off time to ensure the documentation is correct. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, I observed a hole in the ground in front of the storage building located on the playground. I suggested to fill in the hole with dirt, mulch, or sand to prevent any child or adult from falling and getting injured. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. I suggested adding fence extenders to the top of the fence to create a more permanent fix. The administrator stated that she would look into a type of fence extender to add to the top of the fence. 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 11/9/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three (3) to five (5) days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - Increasing the capacity for the facility. The updated application was received via email from Erin Van Note on 10/25/2023. - Rated License and the facility wanting to increase their star rating. When the facility is ready, they will reach out to me for further guidance. - Documentation of Orientation, I suggested that you document the month, day, and year the training topic was completed. - Emergency Medications, I stated that chronic medications need to be stored in the original medication packaging with the pharmacy label. - Plastics, I stated that plastic wipe packaging, grocery bags, Ziploc bags and any plastic easily torn packaging must be stored inaccessible to children under three years old. - Health Questionnaire and medical information, I stated needs to be stored in a separately in a confidential file. - On-going training hours, I clarified that on-going training hours go from employment date to their anniversary date the next year. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: BLACK MOUNTAIN MONTESSORI Facility ID: 11000858 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/26/2023 Number Present: 32 Completed Date: 10/26/2023 Age: From 2 To 6 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 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. Kristy Beaver and Erin VanNote, Administrators, were on-site and available during the visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kristy Beaver, and Erin VanNote, Administrators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The facilities compliance history was reviewed prior to the visit on 10/20/2023 and reviewed with the administrator during the visit. The facilities compliance history was eighty percent (80%). The North Carolina Secretary of State website was viewed prior to the visit. The Non-Profit Corporation, Swannanoa Valley Montessori School, Inc., is current/active as of 10/20/2023. The facility operates with a One (1) Star Rated License, issued 10/28/2019 with restrictions as follows: first shift, children under two and half (2 ½) years old in rooms with direct exits only. The last annual compliance visit was conducted on 11/9/2022. The last fire drill was practiced on 10/24/2023. The last lockdown drill was practiced on 9/22/2023. The last playground inspection was documented on 10/24/2023. The last fire inspection was approved on 8/14/2023. The last sanitation inspection was conducted on 1/11/2023 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was reviewed on 9/20/2023. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. Upon arrival, I was greeted by Ms. VanNote. In space #3, the group of two- to three-year-old children were engaged in gross motor play outdoors. In space #2, the before care, after care, and nap room no children were present. I observed the arrival and departure sign in sheet not completed for 10/26/2023. In space #1, the group of three- to six-year-olds were engaged in free play with blocks, shapes, drawing, and the plant life cycle activity. In space #5, the group of three- to six-year-old children were transitioning to the restroom and outdoors for gross motor play. In space #6, the therapist room, there were no children present in the space and requirements were being met. In space #4, the gym there were no children present in the space. All staff interactions were positive and nurturing. The children enrolled bring all their meals and snacks from home, and have a Nutritional Opt-Out form on file. The program does not provide transportation. All medications were monitored and meets requirements. During the visit, four (4) new staff files and one (1) existing staff files and four (4) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed a hole in the ground in front of the storage building located on the playground. 10A NCAC 09 .0601(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. GS 110-91(6); .0605((i) Technical assistance was provided as follows: Item #125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; - The arrival time was not documented for the children as they arrived in before school care room. The administrator corrected this during the visit. I suggested to have a designated area for the arrival and departure sheet to hung so that the parents/guardians can sign the children in as they drop the child off at the facility. Then have the staff to verify that each child was signed in at their appropriate drop off time to ensure the documentation is correct. Item #807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. - Outside, I observed a hole in the ground in front of the storage building located on the playground. I suggested to fill in the hole with dirt, mulch, or sand to prevent any child or adult from falling and getting injured. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. - Outside, the fence height was below the minimum height of four (4) feet due to leaf build up at the base of the fence. I suggested adding fence extenders to the top of the fence to create a more permanent fix. The administrator stated that she would look into a type of fence extender to add to the top of the fence. 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 11/9/2023. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three (3) to five (5) days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: - Increasing the capacity for the facility. The updated application was received via email from Erin Van Note on 10/25/2023. - Rated License and the facility wanting to increase their star rating. When the facility is ready, they will reach out to me for further guidance. - Documentation of Orientation, I suggested that you document the month, day, and year the training topic was completed. - Emergency Medications, I stated that chronic medications need to be stored in the original medication packaging with the pharmacy label. - Plastics, I stated that plastic wipe packaging, grocery bags, Ziploc bags and any plastic easily torn packaging must be stored inaccessible to children under three years old. - Health Questionnaire and medical information, I stated needs to be stored in a separately in a confidential file. - On-going training hours, I clarified that on-going training hours go from employment date to their anniversary date the next year. 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. 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 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