10A NCAC 09 .0601 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 11 Completed Date: 1/12/2026 Age: From 3 To 5 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, 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 ninety percent (90%) as of 12/30/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/30/2025. Permit type – Five (5) Star Rated License, issued 4/4/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 1/23/2025. The last fire drill was practiced on 12/10/2025. The last shelter-in-place drill was practiced on 11/24/2025. The next drill is due by February 2026. The last playground inspection was documented on 1/6/2026 The last fire inspection was approved on 8/26/2025. The last sanitation inspection was conducted on 3/13/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 6/11/2024. Lead paint and asbestos testing was completed on 4/24/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by the staff in the classroom. The group of three- to five-year-old children were engaged in free play with playdough, legos, blocks, and books. After free play, the group cleaned up to prepare for group time. During group time, the group engaged in a lesson on balls. While monitoring the classroom, I observed one (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. When group time concluded, the children were called one at a time to get their coats on and line up to go outside. Once outside, the group engaged in play with trikes, balls, sand, and tunnel. While outside, I observe the tarp that covers the sandbox laying in the play space creating a potential tripping hazard. We discussed folding and moving the tarp out of the way to prevent a child from tripping. The group entered the classroom; the children and staff washed their hands and then engaged in music and movement. The lunch consisted of chicken sandwich, tater tots, applesauce, and milk. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/4/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 4, 2028. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted where they can be seen by the parents. .1003(b) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the dramatic play area. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 802- Safe pick-up and delivery procedures were not posted where they can be seen by the parents. The teacher printed and posted during the visit. Rule Reference: 10A NCAC 09 .1003(b) Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. We discussed that these items would need to be removed and stored in the playground storage unit or folded out of the way not accessible to children. The staff folded the tarp and stored on top of a storage box during the visit. Rule Reference: 10A NCAC 09 .0601(a) Item 812- One (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -New hire orientation, staff will need to ensure the Documentation of Orientation documents the required sixteen (16) clock hours within the first six weeks of employment. Staff member hired 12/15/2025, documentation of orientation documents 15.75 hours. -ABCMS portal- Trained staff will need to continue to ensure all current staff is listed on the employee roster, including the administrator. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 .0604 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 11 Completed Date: 1/12/2026 Age: From 3 To 5 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, 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 ninety percent (90%) as of 12/30/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/30/2025. Permit type – Five (5) Star Rated License, issued 4/4/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 1/23/2025. The last fire drill was practiced on 12/10/2025. The last shelter-in-place drill was practiced on 11/24/2025. The next drill is due by February 2026. The last playground inspection was documented on 1/6/2026 The last fire inspection was approved on 8/26/2025. The last sanitation inspection was conducted on 3/13/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 6/11/2024. Lead paint and asbestos testing was completed on 4/24/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by the staff in the classroom. The group of three- to five-year-old children were engaged in free play with playdough, legos, blocks, and books. After free play, the group cleaned up to prepare for group time. During group time, the group engaged in a lesson on balls. While monitoring the classroom, I observed one (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. When group time concluded, the children were called one at a time to get their coats on and line up to go outside. Once outside, the group engaged in play with trikes, balls, sand, and tunnel. While outside, I observe the tarp that covers the sandbox laying in the play space creating a potential tripping hazard. We discussed folding and moving the tarp out of the way to prevent a child from tripping. The group entered the classroom; the children and staff washed their hands and then engaged in music and movement. The lunch consisted of chicken sandwich, tater tots, applesauce, and milk. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/4/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 4, 2028. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted where they can be seen by the parents. .1003(b) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the dramatic play area. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 802- Safe pick-up and delivery procedures were not posted where they can be seen by the parents. The teacher printed and posted during the visit. Rule Reference: 10A NCAC 09 .1003(b) Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. We discussed that these items would need to be removed and stored in the playground storage unit or folded out of the way not accessible to children. The staff folded the tarp and stored on top of a storage box during the visit. Rule Reference: 10A NCAC 09 .0601(a) Item 812- One (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -New hire orientation, staff will need to ensure the Documentation of Orientation documents the required sixteen (16) clock hours within the first six weeks of employment. Staff member hired 12/15/2025, documentation of orientation documents 15.75 hours. -ABCMS portal- Trained staff will need to continue to ensure all current staff is listed on the employee roster, including the administrator. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 .1003 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 11 Completed Date: 1/12/2026 Age: From 3 To 5 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, 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 ninety percent (90%) as of 12/30/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/30/2025. Permit type – Five (5) Star Rated License, issued 4/4/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 1/23/2025. The last fire drill was practiced on 12/10/2025. The last shelter-in-place drill was practiced on 11/24/2025. The next drill is due by February 2026. The last playground inspection was documented on 1/6/2026 The last fire inspection was approved on 8/26/2025. The last sanitation inspection was conducted on 3/13/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 6/11/2024. Lead paint and asbestos testing was completed on 4/24/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by the staff in the classroom. The group of three- to five-year-old children were engaged in free play with playdough, legos, blocks, and books. After free play, the group cleaned up to prepare for group time. During group time, the group engaged in a lesson on balls. While monitoring the classroom, I observed one (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. When group time concluded, the children were called one at a time to get their coats on and line up to go outside. Once outside, the group engaged in play with trikes, balls, sand, and tunnel. While outside, I observe the tarp that covers the sandbox laying in the play space creating a potential tripping hazard. We discussed folding and moving the tarp out of the way to prevent a child from tripping. The group entered the classroom; the children and staff washed their hands and then engaged in music and movement. The lunch consisted of chicken sandwich, tater tots, applesauce, and milk. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/4/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 4, 2028. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted where they can be seen by the parents. .1003(b) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the dramatic play area. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 802- Safe pick-up and delivery procedures were not posted where they can be seen by the parents. The teacher printed and posted during the visit. Rule Reference: 10A NCAC 09 .1003(b) Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. We discussed that these items would need to be removed and stored in the playground storage unit or folded out of the way not accessible to children. The staff folded the tarp and stored on top of a storage box during the visit. Rule Reference: 10A NCAC 09 .0601(a) Item 812- One (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -New hire orientation, staff will need to ensure the Documentation of Orientation documents the required sixteen (16) clock hours within the first six weeks of employment. Staff member hired 12/15/2025, documentation of orientation documents 15.75 hours. -ABCMS portal- Trained staff will need to continue to ensure all current staff is listed on the employee roster, including the administrator. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 11 Completed Date: 1/12/2026 Age: From 3 To 5 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, 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 ninety percent (90%) as of 12/30/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/30/2025. Permit type – Five (5) Star Rated License, issued 4/4/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 1/23/2025. The last fire drill was practiced on 12/10/2025. The last shelter-in-place drill was practiced on 11/24/2025. The next drill is due by February 2026. The last playground inspection was documented on 1/6/2026 The last fire inspection was approved on 8/26/2025. The last sanitation inspection was conducted on 3/13/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 6/11/2024. Lead paint and asbestos testing was completed on 4/24/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by the staff in the classroom. The group of three- to five-year-old children were engaged in free play with playdough, legos, blocks, and books. After free play, the group cleaned up to prepare for group time. During group time, the group engaged in a lesson on balls. While monitoring the classroom, I observed one (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. When group time concluded, the children were called one at a time to get their coats on and line up to go outside. Once outside, the group engaged in play with trikes, balls, sand, and tunnel. While outside, I observe the tarp that covers the sandbox laying in the play space creating a potential tripping hazard. We discussed folding and moving the tarp out of the way to prevent a child from tripping. The group entered the classroom; the children and staff washed their hands and then engaged in music and movement. The lunch consisted of chicken sandwich, tater tots, applesauce, and milk. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/4/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 4, 2028. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted where they can be seen by the parents. .1003(b) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the dramatic play area. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 802- Safe pick-up and delivery procedures were not posted where they can be seen by the parents. The teacher printed and posted during the visit. Rule Reference: 10A NCAC 09 .1003(b) Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. We discussed that these items would need to be removed and stored in the playground storage unit or folded out of the way not accessible to children. The staff folded the tarp and stored on top of a storage box during the visit. Rule Reference: 10A NCAC 09 .0601(a) Item 812- One (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -New hire orientation, staff will need to ensure the Documentation of Orientation documents the required sixteen (16) clock hours within the first six weeks of employment. Staff member hired 12/15/2025, documentation of orientation documents 15.75 hours. -ABCMS portal- Trained staff will need to continue to ensure all current staff is listed on the employee roster, including the administrator. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 11 Completed Date: 1/12/2026 Age: From 3 To 5 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, 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 ninety percent (90%) as of 12/30/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/30/2025. Permit type – Five (5) Star Rated License, issued 4/4/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 1/23/2025. The last fire drill was practiced on 12/10/2025. The last shelter-in-place drill was practiced on 11/24/2025. The next drill is due by February 2026. The last playground inspection was documented on 1/6/2026 The last fire inspection was approved on 8/26/2025. The last sanitation inspection was conducted on 3/13/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 6/11/2024. Lead paint and asbestos testing was completed on 4/24/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by the staff in the classroom. The group of three- to five-year-old children were engaged in free play with playdough, legos, blocks, and books. After free play, the group cleaned up to prepare for group time. During group time, the group engaged in a lesson on balls. While monitoring the classroom, I observed one (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. When group time concluded, the children were called one at a time to get their coats on and line up to go outside. Once outside, the group engaged in play with trikes, balls, sand, and tunnel. While outside, I observe the tarp that covers the sandbox laying in the play space creating a potential tripping hazard. We discussed folding and moving the tarp out of the way to prevent a child from tripping. The group entered the classroom; the children and staff washed their hands and then engaged in music and movement. The lunch consisted of chicken sandwich, tater tots, applesauce, and milk. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/4/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 4, 2028. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted where they can be seen by the parents. .1003(b) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the dramatic play area. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 802- Safe pick-up and delivery procedures were not posted where they can be seen by the parents. The teacher printed and posted during the visit. Rule Reference: 10A NCAC 09 .1003(b) Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. We discussed that these items would need to be removed and stored in the playground storage unit or folded out of the way not accessible to children. The staff folded the tarp and stored on top of a storage box during the visit. Rule Reference: 10A NCAC 09 .0601(a) Item 812- One (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -New hire orientation, staff will need to ensure the Documentation of Orientation documents the required sixteen (16) clock hours within the first six weeks of employment. Staff member hired 12/15/2025, documentation of orientation documents 15.75 hours. -ABCMS portal- Trained staff will need to continue to ensure all current staff is listed on the employee roster, including the administrator. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 11 Completed Date: 1/12/2026 Age: From 3 To 5 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, 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 ninety percent (90%) as of 12/30/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/30/2025. Permit type – Five (5) Star Rated License, issued 4/4/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 1/23/2025. The last fire drill was practiced on 12/10/2025. The last shelter-in-place drill was practiced on 11/24/2025. The next drill is due by February 2026. The last playground inspection was documented on 1/6/2026 The last fire inspection was approved on 8/26/2025. The last sanitation inspection was conducted on 3/13/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 6/11/2024. Lead paint and asbestos testing was completed on 4/24/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by the staff in the classroom. The group of three- to five-year-old children were engaged in free play with playdough, legos, blocks, and books. After free play, the group cleaned up to prepare for group time. During group time, the group engaged in a lesson on balls. While monitoring the classroom, I observed one (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. When group time concluded, the children were called one at a time to get their coats on and line up to go outside. Once outside, the group engaged in play with trikes, balls, sand, and tunnel. While outside, I observe the tarp that covers the sandbox laying in the play space creating a potential tripping hazard. We discussed folding and moving the tarp out of the way to prevent a child from tripping. The group entered the classroom; the children and staff washed their hands and then engaged in music and movement. The lunch consisted of chicken sandwich, tater tots, applesauce, and milk. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/4/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 4, 2028. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted where they can be seen by the parents. .1003(b) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the dramatic play area. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 802- Safe pick-up and delivery procedures were not posted where they can be seen by the parents. The teacher printed and posted during the visit. Rule Reference: 10A NCAC 09 .1003(b) Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. We discussed that these items would need to be removed and stored in the playground storage unit or folded out of the way not accessible to children. The staff folded the tarp and stored on top of a storage box during the visit. Rule Reference: 10A NCAC 09 .0601(a) Item 812- One (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -New hire orientation, staff will need to ensure the Documentation of Orientation documents the required sixteen (16) clock hours within the first six weeks of employment. Staff member hired 12/15/2025, documentation of orientation documents 15.75 hours. -ABCMS portal- Trained staff will need to continue to ensure all current staff is listed on the employee roster, including the administrator. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 .3222 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/12/2026 Number Present: 11 Completed Date: 1/12/2026 Age: From 3 To 5 Total Minutes: 145 Time In: 09:35 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, 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 ninety percent (90%) as of 12/30/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/30/2025. Permit type – Five (5) Star Rated License, issued 4/4/2025. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 1/23/2025. The last fire drill was practiced on 12/10/2025. The last shelter-in-place drill was practiced on 11/24/2025. The next drill is due by February 2026. The last playground inspection was documented on 1/6/2026 The last fire inspection was approved on 8/26/2025. The last sanitation inspection was conducted on 3/13/2025 with two (2) demerits for a superior classification. Lead water testing was completed on 6/11/2024. Lead paint and asbestos testing was completed on 4/24/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by the staff in the classroom. The group of three- to five-year-old children were engaged in free play with playdough, legos, blocks, and books. After free play, the group cleaned up to prepare for group time. During group time, the group engaged in a lesson on balls. While monitoring the classroom, I observed one (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. When group time concluded, the children were called one at a time to get their coats on and line up to go outside. Once outside, the group engaged in play with trikes, balls, sand, and tunnel. While outside, I observe the tarp that covers the sandbox laying in the play space creating a potential tripping hazard. We discussed folding and moving the tarp out of the way to prevent a child from tripping. The group entered the classroom; the children and staff washed their hands and then engaged in music and movement. The lunch consisted of chicken sandwich, tater tots, applesauce, and milk. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. One (1) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/4/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 4, 2028. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. Safe pick-up and delivery procedures were not posted where they can be seen by the parents. .1003(b) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. 10A NCAC 09 .0601(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. One (1) electrical outlet uncovered in the dramatic play area. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 802- Safe pick-up and delivery procedures were not posted where they can be seen by the parents. The teacher printed and posted during the visit. Rule Reference: 10A NCAC 09 .1003(b) Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard. We discussed that these items would need to be removed and stored in the playground storage unit or folded out of the way not accessible to children. The staff folded the tarp and stored on top of a storage box during the visit. Rule Reference: 10A NCAC 09 .0601(a) Item 812- One (1) electrical outlet uncovered in the dramatic play area. The teacher covered the outlet with a safety outlet plug. Rule Reference: 10A NCAC 09 .0604(c) Consultation is provided as follows: -New hire orientation, staff will need to ensure the Documentation of Orientation documents the required sixteen (16) clock hours within the first six weeks of employment. Staff member hired 12/15/2025, documentation of orientation documents 15.75 hours. -ABCMS portal- Trained staff will need to continue to ensure all current staff is listed on the employee roster, including the administrator. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. 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 .0604 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/24/2025 Number Present: 16 Completed Date: 3/24/2025 Age: From 4 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license 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 Sandra Massingill, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, Special training, CBC qualifications, Emergency Medical Care Plan, Administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted, nutrition and routine caregiving activities. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 3/13/2025. The last annual compliance visit was conducted on 1/23/2025. The last fire drill was practiced on 2/28/2025. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 3/3/2025. The last fire inspection was approved on 2/26/2025. The last sanitation inspection was conducted on 3/13/2025 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. While monitoring the indoor and outdoor space, I observed the group of three- to five-year-old children engaged in transitioning indoor from outdoor gross motor play. Upon arriving in the classroom, the children and staff washed hands and went to group time. At group time the lead teacher sang songs with the children, read the story Who lives in the forest, and conducted music and movement. After music and movement, the children and staff washed hands and lined up to go to the cafeteria for lunch. Once in the cafeteria, the children and staff got hand sanitizer and went through the lunch line. Today’s lunch consisted of grilled cheese, broccoli, applesauce and milk. After lunch, the class transitioned back to the classroom to wash hands and prepare for nap. The facilities prep assessment was completed on 5/29/2024. The facility received an average score of 5.73. The results of the prep assessment were reviewed with the facility during the routine unannounced visit on 9/11/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 1/23/2025. One (1) new staff member has been hired since the 1/23/2025 visit, and I reviewed the staff members file during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Five (5) Star Rated License, issued 8/13/2018. Earning seven (7) points in the education component, seven (7) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety-three percent (93%) as of 3/13/2025. You submitted the Rated License Assessment Request Review for prep year on 1/24/2024, and the application for re-assessment was submitted on 3/22/2024. Your new Five (5) 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 North Carolina Early Childhood Administration Credential (NCECAC) Level III and has thirty-three (33) years’ experience earning seven (7) points. The one (1) required lead teacher has North Carolina Early Childhood Credentials (NCECC) and a four-year other degree in Birth-Kindergarten with twenty-five (25) years of experience in child care, earning seven (7) points. The 0ne (1) required teacher has NCECC with twelve (12) semester hours in Early Childhood completed, four-year other degree in Educational Studies, and two (2) year of experience earning seven (7) points. Based on the information noted above, your program earned seven (7) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 1/24/2024. The ECERS-R was administered on May 29, 2024. The assessment report was reviewed during a routine unannounced visit on September 11, 2024. The scores are as follows: ECERS- 5.73. The overall score is 5.73 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 7 + 1 = 15 = 5 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. 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. Outside, I observed the sandbox lid was broken and two (2) yellow trikes were missing the handle grips. .0601(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlet were uncovered in the cafeteria. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 705 Outside, I observed the sandbox lid was broken and two (2) yellow trikes were missing the handle grips. The teacher stated that a workorder has been submitted and waiting on the maintenance team to remove the sandbox. The teacher stated that she has homemade handle grips made out of pool noodles and they were laying on the ground. Rule Refence: 10A NCAC 09.0601 (c) Item 812 Three (3) electrical outlet were uncovered in the cafeteria. The teacher corrected this during the visit. We discussed carrying extra outlet covers with you through out your walk. Rule Reference: 10A NCAC 09.0604 (c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/7/2025. 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: First Aid and CPR training is due for SW by 7/20/2025, SM by 7/27/2025, and BH by 5/20/2025. I strongly recommend that you go ahead and register for a training to ensure that this is completed prior to the expiration date. Healthy and Safety training renewal for SW is due by 4/7/2026. Just a reminder to ensure that you complete each training topic prior to the previous completion certificate training date. Annual professional development plan and staff evaluations are due by 7/2/25 for staff member SW, and staff member SM is due by 6/10/2025. 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 09.0601 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/24/2025 Number Present: 16 Completed Date: 3/24/2025 Age: From 4 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license 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 Sandra Massingill, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, Special training, CBC qualifications, Emergency Medical Care Plan, Administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted, nutrition and routine caregiving activities. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 3/13/2025. The last annual compliance visit was conducted on 1/23/2025. The last fire drill was practiced on 2/28/2025. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 3/3/2025. The last fire inspection was approved on 2/26/2025. The last sanitation inspection was conducted on 3/13/2025 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. While monitoring the indoor and outdoor space, I observed the group of three- to five-year-old children engaged in transitioning indoor from outdoor gross motor play. Upon arriving in the classroom, the children and staff washed hands and went to group time. At group time the lead teacher sang songs with the children, read the story Who lives in the forest, and conducted music and movement. After music and movement, the children and staff washed hands and lined up to go to the cafeteria for lunch. Once in the cafeteria, the children and staff got hand sanitizer and went through the lunch line. Today’s lunch consisted of grilled cheese, broccoli, applesauce and milk. After lunch, the class transitioned back to the classroom to wash hands and prepare for nap. The facilities prep assessment was completed on 5/29/2024. The facility received an average score of 5.73. The results of the prep assessment were reviewed with the facility during the routine unannounced visit on 9/11/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 1/23/2025. One (1) new staff member has been hired since the 1/23/2025 visit, and I reviewed the staff members file during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Five (5) Star Rated License, issued 8/13/2018. Earning seven (7) points in the education component, seven (7) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety-three percent (93%) as of 3/13/2025. You submitted the Rated License Assessment Request Review for prep year on 1/24/2024, and the application for re-assessment was submitted on 3/22/2024. Your new Five (5) 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 North Carolina Early Childhood Administration Credential (NCECAC) Level III and has thirty-three (33) years’ experience earning seven (7) points. The one (1) required lead teacher has North Carolina Early Childhood Credentials (NCECC) and a four-year other degree in Birth-Kindergarten with twenty-five (25) years of experience in child care, earning seven (7) points. The 0ne (1) required teacher has NCECC with twelve (12) semester hours in Early Childhood completed, four-year other degree in Educational Studies, and two (2) year of experience earning seven (7) points. Based on the information noted above, your program earned seven (7) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 1/24/2024. The ECERS-R was administered on May 29, 2024. The assessment report was reviewed during a routine unannounced visit on September 11, 2024. The scores are as follows: ECERS- 5.73. The overall score is 5.73 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 7 + 1 = 15 = 5 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. 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. Outside, I observed the sandbox lid was broken and two (2) yellow trikes were missing the handle grips. .0601(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlet were uncovered in the cafeteria. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 705 Outside, I observed the sandbox lid was broken and two (2) yellow trikes were missing the handle grips. The teacher stated that a workorder has been submitted and waiting on the maintenance team to remove the sandbox. The teacher stated that she has homemade handle grips made out of pool noodles and they were laying on the ground. Rule Refence: 10A NCAC 09.0601 (c) Item 812 Three (3) electrical outlet were uncovered in the cafeteria. The teacher corrected this during the visit. We discussed carrying extra outlet covers with you through out your walk. Rule Reference: 10A NCAC 09.0604 (c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/7/2025. 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: First Aid and CPR training is due for SW by 7/20/2025, SM by 7/27/2025, and BH by 5/20/2025. I strongly recommend that you go ahead and register for a training to ensure that this is completed prior to the expiration date. Healthy and Safety training renewal for SW is due by 4/7/2026. Just a reminder to ensure that you complete each training topic prior to the previous completion certificate training date. Annual professional development plan and staff evaluations are due by 7/2/25 for staff member SW, and staff member SM is due by 6/10/2025. 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 09.0604 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/24/2025 Number Present: 16 Completed Date: 3/24/2025 Age: From 4 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license 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 Sandra Massingill, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, Special training, CBC qualifications, Emergency Medical Care Plan, Administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted, nutrition and routine caregiving activities. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 3/13/2025. The last annual compliance visit was conducted on 1/23/2025. The last fire drill was practiced on 2/28/2025. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 3/3/2025. The last fire inspection was approved on 2/26/2025. The last sanitation inspection was conducted on 3/13/2025 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. While monitoring the indoor and outdoor space, I observed the group of three- to five-year-old children engaged in transitioning indoor from outdoor gross motor play. Upon arriving in the classroom, the children and staff washed hands and went to group time. At group time the lead teacher sang songs with the children, read the story Who lives in the forest, and conducted music and movement. After music and movement, the children and staff washed hands and lined up to go to the cafeteria for lunch. Once in the cafeteria, the children and staff got hand sanitizer and went through the lunch line. Today’s lunch consisted of grilled cheese, broccoli, applesauce and milk. After lunch, the class transitioned back to the classroom to wash hands and prepare for nap. The facilities prep assessment was completed on 5/29/2024. The facility received an average score of 5.73. The results of the prep assessment were reviewed with the facility during the routine unannounced visit on 9/11/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 1/23/2025. One (1) new staff member has been hired since the 1/23/2025 visit, and I reviewed the staff members file during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Five (5) Star Rated License, issued 8/13/2018. Earning seven (7) points in the education component, seven (7) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety-three percent (93%) as of 3/13/2025. You submitted the Rated License Assessment Request Review for prep year on 1/24/2024, and the application for re-assessment was submitted on 3/22/2024. Your new Five (5) 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 North Carolina Early Childhood Administration Credential (NCECAC) Level III and has thirty-three (33) years’ experience earning seven (7) points. The one (1) required lead teacher has North Carolina Early Childhood Credentials (NCECC) and a four-year other degree in Birth-Kindergarten with twenty-five (25) years of experience in child care, earning seven (7) points. The 0ne (1) required teacher has NCECC with twelve (12) semester hours in Early Childhood completed, four-year other degree in Educational Studies, and two (2) year of experience earning seven (7) points. Based on the information noted above, your program earned seven (7) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 1/24/2024. The ECERS-R was administered on May 29, 2024. The assessment report was reviewed during a routine unannounced visit on September 11, 2024. The scores are as follows: ECERS- 5.73. The overall score is 5.73 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 7 + 1 = 15 = 5 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. 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. Outside, I observed the sandbox lid was broken and two (2) yellow trikes were missing the handle grips. .0601(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlet were uncovered in the cafeteria. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 705 Outside, I observed the sandbox lid was broken and two (2) yellow trikes were missing the handle grips. The teacher stated that a workorder has been submitted and waiting on the maintenance team to remove the sandbox. The teacher stated that she has homemade handle grips made out of pool noodles and they were laying on the ground. Rule Refence: 10A NCAC 09.0601 (c) Item 812 Three (3) electrical outlet were uncovered in the cafeteria. The teacher corrected this during the visit. We discussed carrying extra outlet covers with you through out your walk. Rule Reference: 10A NCAC 09.0604 (c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/7/2025. 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: First Aid and CPR training is due for SW by 7/20/2025, SM by 7/27/2025, and BH by 5/20/2025. I strongly recommend that you go ahead and register for a training to ensure that this is completed prior to the expiration date. Healthy and Safety training renewal for SW is due by 4/7/2026. Just a reminder to ensure that you complete each training topic prior to the previous completion certificate training date. Annual professional development plan and staff evaluations are due by 7/2/25 for staff member SW, and staff member SM is due by 6/10/2025. 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/24/2025 Number Present: 16 Completed Date: 3/24/2025 Age: From 4 To 5 Total Minutes: 120 Time In: 11:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for an rated license 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 Sandra Massingill, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, accompanied me during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, Special training, CBC qualifications, Emergency Medical Care Plan, Administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted, nutrition and routine caregiving activities. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 3/13/2025. The last annual compliance visit was conducted on 1/23/2025. The last fire drill was practiced on 2/28/2025. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 3/3/2025. The last fire inspection was approved on 2/26/2025. The last sanitation inspection was conducted on 3/13/2025 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. While monitoring the indoor and outdoor space, I observed the group of three- to five-year-old children engaged in transitioning indoor from outdoor gross motor play. Upon arriving in the classroom, the children and staff washed hands and went to group time. At group time the lead teacher sang songs with the children, read the story Who lives in the forest, and conducted music and movement. After music and movement, the children and staff washed hands and lined up to go to the cafeteria for lunch. Once in the cafeteria, the children and staff got hand sanitizer and went through the lunch line. Today’s lunch consisted of grilled cheese, broccoli, applesauce and milk. After lunch, the class transitioned back to the classroom to wash hands and prepare for nap. The facilities prep assessment was completed on 5/29/2024. The facility received an average score of 5.73. The results of the prep assessment were reviewed with the facility during the routine unannounced visit on 9/11/2024. The facilities staff and children’s files were viewed during the annual compliance visit that was conducted on 1/23/2025. One (1) new staff member has been hired since the 1/23/2025 visit, and I reviewed the staff members file during today’s visit. Rated License Information: Prior to today’s visit, your program operated with a Five (5) Star Rated License, issued 8/13/2018. Earning seven (7) points in the education component, seven (7) points in program standards, and 1 quality point for staff benefits package, and infrastructure of parent involvement. The program’s compliance history was ninety-three percent (93%) as of 3/13/2025. You submitted the Rated License Assessment Request Review for prep year on 1/24/2024, and the application for re-assessment was submitted on 3/22/2024. Your new Five (5) 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 North Carolina Early Childhood Administration Credential (NCECAC) Level III and has thirty-three (33) years’ experience earning seven (7) points. The one (1) required lead teacher has North Carolina Early Childhood Credentials (NCECC) and a four-year other degree in Birth-Kindergarten with twenty-five (25) years of experience in child care, earning seven (7) points. The 0ne (1) required teacher has NCECC with twelve (12) semester hours in Early Childhood completed, four-year other degree in Educational Studies, and two (2) year of experience earning seven (7) points. Based on the information noted above, your program earned seven (7) points in the Education component. Program Standards – The program enhanced space and all other applicable requirements for enhanced standards. The facility completed the request for the prep assessment Environment Rating Scales on 1/24/2024. The ECERS-R was administered on May 29, 2024. The assessment report was reviewed during a routine unannounced visit on September 11, 2024. The scores are as follows: ECERS- 5.73. The overall score is 5.73 earning the facility seven (7) points in the Program Standards component. Quality Point – You have chosen to meet Programmatic Option staff benefits package, and infrastructure of parent involvement, therefore your program earned one (1) Quality Point. Total – 7 + 7 + 1 = 15 = 5 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. 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. Outside, I observed the sandbox lid was broken and two (2) yellow trikes were missing the handle grips. .0601(c) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Three (3) electrical outlet were uncovered in the cafeteria. 10A NCAC 09 .0604(c) Technical assistance was provided as follows: Item 705 Outside, I observed the sandbox lid was broken and two (2) yellow trikes were missing the handle grips. The teacher stated that a workorder has been submitted and waiting on the maintenance team to remove the sandbox. The teacher stated that she has homemade handle grips made out of pool noodles and they were laying on the ground. Rule Refence: 10A NCAC 09.0601 (c) Item 812 Three (3) electrical outlet were uncovered in the cafeteria. The teacher corrected this during the visit. We discussed carrying extra outlet covers with you through out your walk. Rule Reference: 10A NCAC 09.0604 (c) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/7/2025. 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: First Aid and CPR training is due for SW by 7/20/2025, SM by 7/27/2025, and BH by 5/20/2025. I strongly recommend that you go ahead and register for a training to ensure that this is completed prior to the expiration date. Healthy and Safety training renewal for SW is due by 4/7/2026. Just a reminder to ensure that you complete each training topic prior to the previous completion certificate training date. Annual professional development plan and staff evaluations are due by 7/2/25 for staff member SW, and staff member SM is due by 6/10/2025. 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, was on-site and 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 ninety-three percent (93%) as of 12/27/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/27/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 2/9/2024. The last fire drill was practiced on 12/20/24. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene. The next drill was conducted on 11/18/24 with the children present. The December drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 1/8/2025. The last fire inspection was approved on 1/6/2024. A new inspection has not been received due to Tropical Storm Helene. The last sanitation inspection was conducted on 3/20/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I was greeted by Ms. Massingill. I observed the group of four- to five-year-old children engaged in free play with books, magnetic blocks, puzzles, scales, blocks, and dramatic play materials. While monitoring the classroom, I observed the first aid kit had six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. At 10:25a, the group prepared to go outside. Once outside, the children engaged in play with trikes, climber, and dramatic play accessories. The staff monitored the children and weather closely to ensure that the children were not too cold. At 11:45a, the group transitioned indoors to wash hands and continue free play. After free play the group prepared for lunch. Lunch today consisted of nachos, pears, corn, and milk. The completed staff and training worksheet was not received prior to todays visit. Staff files were reviewed and I completed a staff and training worksheet to document the files reviewed. The administrator will need to submit the completed staff and training worksheet within twenty-four (24) hours. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. One (1) children files were monitored today. The classroom operates from 7:00 a.m. to 2:30 p.m. Additional guidance due to Tropical Storm Helene: The following staff are due to complete sixteen (16) hours of orientation within the first six weeks of employment. Once the new staff have completed the required sixteen (16) clock hours please notify me of the date of completion and to let me know the completed form is on file for review. *AV hired 11/4/2024 is forty-five (45) minutes short for the required six hours of orientation training that was required by 11/18/2024. Then one (1) hour short for the remaining six weeks of orientation. A total of one hour and forty-five minutes short for the required sixteen clock hours of orientation. Rule Reference: 10A NCAC 09 .1101(a)(b) Annual fire inspection was due by 1/6/2025. However, due to Tropical Storm Helene, the inspections are delayed. Please reach out to the fire marshal to request an inspection. Once you have contacted the fire marshal, please notify me of the tentative timeline for completion. When the inspection is completed, you will mail the original inspection to me within one (1) week. Rule Reference: 10A NCAC 09 .0304(a) 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. .2820(b) Technical assistance was provided as follows: Item #0805 A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #840 The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. We discussed that all children must be cared for in safe environments and protected from the risk of potentially dangerous products. Any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. We discussed checking the first aid kit monthly to ensure that antibiotic ointments, alcohol wipes, and/or cold compresses are removed and locked in locking cabinet. We can only administer soap, water, and a band aid. Rule Reference: 15A NCAC 18A.2820(b) 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 2/6/2025. 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: When emergency drills and fire drills are conducted, the children must be present in order for the drill to count. If the children are not present when a drill is conducted, the program will need to conduct a drill own their own when the children are present. We discussed moving the extra donation items to the storage building. We discussed if a child were to bring their meals and snacks from home, the parent would need to complete the Nutritional Opt Out form to have on file. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, was on-site and 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 ninety-three percent (93%) as of 12/27/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/27/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 2/9/2024. The last fire drill was practiced on 12/20/24. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene. The next drill was conducted on 11/18/24 with the children present. The December drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 1/8/2025. The last fire inspection was approved on 1/6/2024. A new inspection has not been received due to Tropical Storm Helene. The last sanitation inspection was conducted on 3/20/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I was greeted by Ms. Massingill. I observed the group of four- to five-year-old children engaged in free play with books, magnetic blocks, puzzles, scales, blocks, and dramatic play materials. While monitoring the classroom, I observed the first aid kit had six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. At 10:25a, the group prepared to go outside. Once outside, the children engaged in play with trikes, climber, and dramatic play accessories. The staff monitored the children and weather closely to ensure that the children were not too cold. At 11:45a, the group transitioned indoors to wash hands and continue free play. After free play the group prepared for lunch. Lunch today consisted of nachos, pears, corn, and milk. The completed staff and training worksheet was not received prior to todays visit. Staff files were reviewed and I completed a staff and training worksheet to document the files reviewed. The administrator will need to submit the completed staff and training worksheet within twenty-four (24) hours. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. One (1) children files were monitored today. The classroom operates from 7:00 a.m. to 2:30 p.m. Additional guidance due to Tropical Storm Helene: The following staff are due to complete sixteen (16) hours of orientation within the first six weeks of employment. Once the new staff have completed the required sixteen (16) clock hours please notify me of the date of completion and to let me know the completed form is on file for review. *AV hired 11/4/2024 is forty-five (45) minutes short for the required six hours of orientation training that was required by 11/18/2024. Then one (1) hour short for the remaining six weeks of orientation. A total of one hour and forty-five minutes short for the required sixteen clock hours of orientation. Rule Reference: 10A NCAC 09 .1101(a)(b) Annual fire inspection was due by 1/6/2025. However, due to Tropical Storm Helene, the inspections are delayed. Please reach out to the fire marshal to request an inspection. Once you have contacted the fire marshal, please notify me of the tentative timeline for completion. When the inspection is completed, you will mail the original inspection to me within one (1) week. Rule Reference: 10A NCAC 09 .0304(a) 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. .2820(b) Technical assistance was provided as follows: Item #0805 A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #840 The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. We discussed that all children must be cared for in safe environments and protected from the risk of potentially dangerous products. Any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. We discussed checking the first aid kit monthly to ensure that antibiotic ointments, alcohol wipes, and/or cold compresses are removed and locked in locking cabinet. We can only administer soap, water, and a band aid. Rule Reference: 15A NCAC 18A.2820(b) 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 2/6/2025. 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: When emergency drills and fire drills are conducted, the children must be present in order for the drill to count. If the children are not present when a drill is conducted, the program will need to conduct a drill own their own when the children are present. We discussed moving the extra donation items to the storage building. We discussed if a child were to bring their meals and snacks from home, the parent would need to complete the Nutritional Opt Out form to have on file. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1101 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, was on-site and 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 ninety-three percent (93%) as of 12/27/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/27/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 2/9/2024. The last fire drill was practiced on 12/20/24. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene. The next drill was conducted on 11/18/24 with the children present. The December drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 1/8/2025. The last fire inspection was approved on 1/6/2024. A new inspection has not been received due to Tropical Storm Helene. The last sanitation inspection was conducted on 3/20/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I was greeted by Ms. Massingill. I observed the group of four- to five-year-old children engaged in free play with books, magnetic blocks, puzzles, scales, blocks, and dramatic play materials. While monitoring the classroom, I observed the first aid kit had six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. At 10:25a, the group prepared to go outside. Once outside, the children engaged in play with trikes, climber, and dramatic play accessories. The staff monitored the children and weather closely to ensure that the children were not too cold. At 11:45a, the group transitioned indoors to wash hands and continue free play. After free play the group prepared for lunch. Lunch today consisted of nachos, pears, corn, and milk. The completed staff and training worksheet was not received prior to todays visit. Staff files were reviewed and I completed a staff and training worksheet to document the files reviewed. The administrator will need to submit the completed staff and training worksheet within twenty-four (24) hours. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. One (1) children files were monitored today. The classroom operates from 7:00 a.m. to 2:30 p.m. Additional guidance due to Tropical Storm Helene: The following staff are due to complete sixteen (16) hours of orientation within the first six weeks of employment. Once the new staff have completed the required sixteen (16) clock hours please notify me of the date of completion and to let me know the completed form is on file for review. *AV hired 11/4/2024 is forty-five (45) minutes short for the required six hours of orientation training that was required by 11/18/2024. Then one (1) hour short for the remaining six weeks of orientation. A total of one hour and forty-five minutes short for the required sixteen clock hours of orientation. Rule Reference: 10A NCAC 09 .1101(a)(b) Annual fire inspection was due by 1/6/2025. However, due to Tropical Storm Helene, the inspections are delayed. Please reach out to the fire marshal to request an inspection. Once you have contacted the fire marshal, please notify me of the tentative timeline for completion. When the inspection is completed, you will mail the original inspection to me within one (1) week. Rule Reference: 10A NCAC 09 .0304(a) 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. .2820(b) Technical assistance was provided as follows: Item #0805 A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #840 The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. We discussed that all children must be cared for in safe environments and protected from the risk of potentially dangerous products. Any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. We discussed checking the first aid kit monthly to ensure that antibiotic ointments, alcohol wipes, and/or cold compresses are removed and locked in locking cabinet. We can only administer soap, water, and a band aid. Rule Reference: 15A NCAC 18A.2820(b) 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 2/6/2025. 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: When emergency drills and fire drills are conducted, the children must be present in order for the drill to count. If the children are not present when a drill is conducted, the program will need to conduct a drill own their own when the children are present. We discussed moving the extra donation items to the storage building. We discussed if a child were to bring their meals and snacks from home, the parent would need to complete the Nutritional Opt Out form to have on file. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, was on-site and 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 ninety-three percent (93%) as of 12/27/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/27/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 2/9/2024. The last fire drill was practiced on 12/20/24. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene. The next drill was conducted on 11/18/24 with the children present. The December drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 1/8/2025. The last fire inspection was approved on 1/6/2024. A new inspection has not been received due to Tropical Storm Helene. The last sanitation inspection was conducted on 3/20/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I was greeted by Ms. Massingill. I observed the group of four- to five-year-old children engaged in free play with books, magnetic blocks, puzzles, scales, blocks, and dramatic play materials. While monitoring the classroom, I observed the first aid kit had six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. At 10:25a, the group prepared to go outside. Once outside, the children engaged in play with trikes, climber, and dramatic play accessories. The staff monitored the children and weather closely to ensure that the children were not too cold. At 11:45a, the group transitioned indoors to wash hands and continue free play. After free play the group prepared for lunch. Lunch today consisted of nachos, pears, corn, and milk. The completed staff and training worksheet was not received prior to todays visit. Staff files were reviewed and I completed a staff and training worksheet to document the files reviewed. The administrator will need to submit the completed staff and training worksheet within twenty-four (24) hours. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. One (1) children files were monitored today. The classroom operates from 7:00 a.m. to 2:30 p.m. Additional guidance due to Tropical Storm Helene: The following staff are due to complete sixteen (16) hours of orientation within the first six weeks of employment. Once the new staff have completed the required sixteen (16) clock hours please notify me of the date of completion and to let me know the completed form is on file for review. *AV hired 11/4/2024 is forty-five (45) minutes short for the required six hours of orientation training that was required by 11/18/2024. Then one (1) hour short for the remaining six weeks of orientation. A total of one hour and forty-five minutes short for the required sixteen clock hours of orientation. Rule Reference: 10A NCAC 09 .1101(a)(b) Annual fire inspection was due by 1/6/2025. However, due to Tropical Storm Helene, the inspections are delayed. Please reach out to the fire marshal to request an inspection. Once you have contacted the fire marshal, please notify me of the tentative timeline for completion. When the inspection is completed, you will mail the original inspection to me within one (1) week. Rule Reference: 10A NCAC 09 .0304(a) 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. .2820(b) Technical assistance was provided as follows: Item #0805 A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #840 The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. We discussed that all children must be cared for in safe environments and protected from the risk of potentially dangerous products. Any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. We discussed checking the first aid kit monthly to ensure that antibiotic ointments, alcohol wipes, and/or cold compresses are removed and locked in locking cabinet. We can only administer soap, water, and a band aid. Rule Reference: 15A NCAC 18A.2820(b) 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 2/6/2025. 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: When emergency drills and fire drills are conducted, the children must be present in order for the drill to count. If the children are not present when a drill is conducted, the program will need to conduct a drill own their own when the children are present. We discussed moving the extra donation items to the storage building. We discussed if a child were to bring their meals and snacks from home, the parent would need to complete the Nutritional Opt Out form to have on file. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, was on-site and 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 ninety-three percent (93%) as of 12/27/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/27/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 2/9/2024. The last fire drill was practiced on 12/20/24. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene. The next drill was conducted on 11/18/24 with the children present. The December drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 1/8/2025. The last fire inspection was approved on 1/6/2024. A new inspection has not been received due to Tropical Storm Helene. The last sanitation inspection was conducted on 3/20/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I was greeted by Ms. Massingill. I observed the group of four- to five-year-old children engaged in free play with books, magnetic blocks, puzzles, scales, blocks, and dramatic play materials. While monitoring the classroom, I observed the first aid kit had six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. At 10:25a, the group prepared to go outside. Once outside, the children engaged in play with trikes, climber, and dramatic play accessories. The staff monitored the children and weather closely to ensure that the children were not too cold. At 11:45a, the group transitioned indoors to wash hands and continue free play. After free play the group prepared for lunch. Lunch today consisted of nachos, pears, corn, and milk. The completed staff and training worksheet was not received prior to todays visit. Staff files were reviewed and I completed a staff and training worksheet to document the files reviewed. The administrator will need to submit the completed staff and training worksheet within twenty-four (24) hours. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. One (1) children files were monitored today. The classroom operates from 7:00 a.m. to 2:30 p.m. Additional guidance due to Tropical Storm Helene: The following staff are due to complete sixteen (16) hours of orientation within the first six weeks of employment. Once the new staff have completed the required sixteen (16) clock hours please notify me of the date of completion and to let me know the completed form is on file for review. *AV hired 11/4/2024 is forty-five (45) minutes short for the required six hours of orientation training that was required by 11/18/2024. Then one (1) hour short for the remaining six weeks of orientation. A total of one hour and forty-five minutes short for the required sixteen clock hours of orientation. Rule Reference: 10A NCAC 09 .1101(a)(b) Annual fire inspection was due by 1/6/2025. However, due to Tropical Storm Helene, the inspections are delayed. Please reach out to the fire marshal to request an inspection. Once you have contacted the fire marshal, please notify me of the tentative timeline for completion. When the inspection is completed, you will mail the original inspection to me within one (1) week. Rule Reference: 10A NCAC 09 .0304(a) 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. .2820(b) Technical assistance was provided as follows: Item #0805 A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #840 The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. We discussed that all children must be cared for in safe environments and protected from the risk of potentially dangerous products. Any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. We discussed checking the first aid kit monthly to ensure that antibiotic ointments, alcohol wipes, and/or cold compresses are removed and locked in locking cabinet. We can only administer soap, water, and a band aid. Rule Reference: 15A NCAC 18A.2820(b) 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 2/6/2025. 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: When emergency drills and fire drills are conducted, the children must be present in order for the drill to count. If the children are not present when a drill is conducted, the program will need to conduct a drill own their own when the children are present. We discussed moving the extra donation items to the storage building. We discussed if a child were to bring their meals and snacks from home, the parent would need to complete the Nutritional Opt Out form to have on file. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, was on-site and 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 ninety-three percent (93%) as of 12/27/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/27/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 2/9/2024. The last fire drill was practiced on 12/20/24. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene. The next drill was conducted on 11/18/24 with the children present. The December drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 1/8/2025. The last fire inspection was approved on 1/6/2024. A new inspection has not been received due to Tropical Storm Helene. The last sanitation inspection was conducted on 3/20/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I was greeted by Ms. Massingill. I observed the group of four- to five-year-old children engaged in free play with books, magnetic blocks, puzzles, scales, blocks, and dramatic play materials. While monitoring the classroom, I observed the first aid kit had six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. At 10:25a, the group prepared to go outside. Once outside, the children engaged in play with trikes, climber, and dramatic play accessories. The staff monitored the children and weather closely to ensure that the children were not too cold. At 11:45a, the group transitioned indoors to wash hands and continue free play. After free play the group prepared for lunch. Lunch today consisted of nachos, pears, corn, and milk. The completed staff and training worksheet was not received prior to todays visit. Staff files were reviewed and I completed a staff and training worksheet to document the files reviewed. The administrator will need to submit the completed staff and training worksheet within twenty-four (24) hours. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. One (1) children files were monitored today. The classroom operates from 7:00 a.m. to 2:30 p.m. Additional guidance due to Tropical Storm Helene: The following staff are due to complete sixteen (16) hours of orientation within the first six weeks of employment. Once the new staff have completed the required sixteen (16) clock hours please notify me of the date of completion and to let me know the completed form is on file for review. *AV hired 11/4/2024 is forty-five (45) minutes short for the required six hours of orientation training that was required by 11/18/2024. Then one (1) hour short for the remaining six weeks of orientation. A total of one hour and forty-five minutes short for the required sixteen clock hours of orientation. Rule Reference: 10A NCAC 09 .1101(a)(b) Annual fire inspection was due by 1/6/2025. However, due to Tropical Storm Helene, the inspections are delayed. Please reach out to the fire marshal to request an inspection. Once you have contacted the fire marshal, please notify me of the tentative timeline for completion. When the inspection is completed, you will mail the original inspection to me within one (1) week. Rule Reference: 10A NCAC 09 .0304(a) 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. .2820(b) Technical assistance was provided as follows: Item #0805 A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #840 The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. We discussed that all children must be cared for in safe environments and protected from the risk of potentially dangerous products. Any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. We discussed checking the first aid kit monthly to ensure that antibiotic ointments, alcohol wipes, and/or cold compresses are removed and locked in locking cabinet. We can only administer soap, water, and a band aid. Rule Reference: 15A NCAC 18A.2820(b) 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 2/6/2025. 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: When emergency drills and fire drills are conducted, the children must be present in order for the drill to count. If the children are not present when a drill is conducted, the program will need to conduct a drill own their own when the children are present. We discussed moving the extra donation items to the storage building. We discussed if a child were to bring their meals and snacks from home, the parent would need to complete the Nutritional Opt Out form to have on file. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, was on-site and 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 ninety-three percent (93%) as of 12/27/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/27/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 2/9/2024. The last fire drill was practiced on 12/20/24. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene. The next drill was conducted on 11/18/24 with the children present. The December drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 1/8/2025. The last fire inspection was approved on 1/6/2024. A new inspection has not been received due to Tropical Storm Helene. The last sanitation inspection was conducted on 3/20/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I was greeted by Ms. Massingill. I observed the group of four- to five-year-old children engaged in free play with books, magnetic blocks, puzzles, scales, blocks, and dramatic play materials. While monitoring the classroom, I observed the first aid kit had six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. At 10:25a, the group prepared to go outside. Once outside, the children engaged in play with trikes, climber, and dramatic play accessories. The staff monitored the children and weather closely to ensure that the children were not too cold. At 11:45a, the group transitioned indoors to wash hands and continue free play. After free play the group prepared for lunch. Lunch today consisted of nachos, pears, corn, and milk. The completed staff and training worksheet was not received prior to todays visit. Staff files were reviewed and I completed a staff and training worksheet to document the files reviewed. The administrator will need to submit the completed staff and training worksheet within twenty-four (24) hours. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. One (1) children files were monitored today. The classroom operates from 7:00 a.m. to 2:30 p.m. Additional guidance due to Tropical Storm Helene: The following staff are due to complete sixteen (16) hours of orientation within the first six weeks of employment. Once the new staff have completed the required sixteen (16) clock hours please notify me of the date of completion and to let me know the completed form is on file for review. *AV hired 11/4/2024 is forty-five (45) minutes short for the required six hours of orientation training that was required by 11/18/2024. Then one (1) hour short for the remaining six weeks of orientation. A total of one hour and forty-five minutes short for the required sixteen clock hours of orientation. Rule Reference: 10A NCAC 09 .1101(a)(b) Annual fire inspection was due by 1/6/2025. However, due to Tropical Storm Helene, the inspections are delayed. Please reach out to the fire marshal to request an inspection. Once you have contacted the fire marshal, please notify me of the tentative timeline for completion. When the inspection is completed, you will mail the original inspection to me within one (1) week. Rule Reference: 10A NCAC 09 .0304(a) 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. .2820(b) Technical assistance was provided as follows: Item #0805 A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #840 The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. We discussed that all children must be cared for in safe environments and protected from the risk of potentially dangerous products. Any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. We discussed checking the first aid kit monthly to ensure that antibiotic ointments, alcohol wipes, and/or cold compresses are removed and locked in locking cabinet. We can only administer soap, water, and a band aid. Rule Reference: 15A NCAC 18A.2820(b) 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 2/6/2025. 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: When emergency drills and fire drills are conducted, the children must be present in order for the drill to count. If the children are not present when a drill is conducted, the program will need to conduct a drill own their own when the children are present. We discussed moving the extra donation items to the storage building. We discussed if a child were to bring their meals and snacks from home, the parent would need to complete the Nutritional Opt Out form to have on file. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, was on-site and 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 ninety-three percent (93%) as of 12/27/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/27/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 2/9/2024. The last fire drill was practiced on 12/20/24. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene. The next drill was conducted on 11/18/24 with the children present. The December drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 1/8/2025. The last fire inspection was approved on 1/6/2024. A new inspection has not been received due to Tropical Storm Helene. The last sanitation inspection was conducted on 3/20/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I was greeted by Ms. Massingill. I observed the group of four- to five-year-old children engaged in free play with books, magnetic blocks, puzzles, scales, blocks, and dramatic play materials. While monitoring the classroom, I observed the first aid kit had six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. At 10:25a, the group prepared to go outside. Once outside, the children engaged in play with trikes, climber, and dramatic play accessories. The staff monitored the children and weather closely to ensure that the children were not too cold. At 11:45a, the group transitioned indoors to wash hands and continue free play. After free play the group prepared for lunch. Lunch today consisted of nachos, pears, corn, and milk. The completed staff and training worksheet was not received prior to todays visit. Staff files were reviewed and I completed a staff and training worksheet to document the files reviewed. The administrator will need to submit the completed staff and training worksheet within twenty-four (24) hours. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. One (1) children files were monitored today. The classroom operates from 7:00 a.m. to 2:30 p.m. Additional guidance due to Tropical Storm Helene: The following staff are due to complete sixteen (16) hours of orientation within the first six weeks of employment. Once the new staff have completed the required sixteen (16) clock hours please notify me of the date of completion and to let me know the completed form is on file for review. *AV hired 11/4/2024 is forty-five (45) minutes short for the required six hours of orientation training that was required by 11/18/2024. Then one (1) hour short for the remaining six weeks of orientation. A total of one hour and forty-five minutes short for the required sixteen clock hours of orientation. Rule Reference: 10A NCAC 09 .1101(a)(b) Annual fire inspection was due by 1/6/2025. However, due to Tropical Storm Helene, the inspections are delayed. Please reach out to the fire marshal to request an inspection. Once you have contacted the fire marshal, please notify me of the tentative timeline for completion. When the inspection is completed, you will mail the original inspection to me within one (1) week. Rule Reference: 10A NCAC 09 .0304(a) 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. .2820(b) Technical assistance was provided as follows: Item #0805 A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #840 The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. We discussed that all children must be cared for in safe environments and protected from the risk of potentially dangerous products. Any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. We discussed checking the first aid kit monthly to ensure that antibiotic ointments, alcohol wipes, and/or cold compresses are removed and locked in locking cabinet. We can only administer soap, water, and a band aid. Rule Reference: 15A NCAC 18A.2820(b) 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 2/6/2025. 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: When emergency drills and fire drills are conducted, the children must be present in order for the drill to count. If the children are not present when a drill is conducted, the program will need to conduct a drill own their own when the children are present. We discussed moving the extra donation items to the storage building. We discussed if a child were to bring their meals and snacks from home, the parent would need to complete the Nutritional Opt Out form to have on file. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 150 Time In: 09:00 AM Time Out: 11:30 AM 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Sandra Massingill, Lead Teacher, was on-site and 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 ninety-three percent (93%) as of 12/27/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 12/27/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 2/9/2024. The last fire drill was practiced on 12/20/24. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene. The next drill was conducted on 11/18/24 with the children present. The December drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. The last lockdown drill was practiced on 12/20/2024. The last playground inspection was documented on 1/8/2025. The last fire inspection was approved on 1/6/2024. A new inspection has not been received due to Tropical Storm Helene. The last sanitation inspection was conducted on 3/20/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I was greeted by Ms. Massingill. I observed the group of four- to five-year-old children engaged in free play with books, magnetic blocks, puzzles, scales, blocks, and dramatic play materials. While monitoring the classroom, I observed the first aid kit had six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. At 10:25a, the group prepared to go outside. Once outside, the children engaged in play with trikes, climber, and dramatic play accessories. The staff monitored the children and weather closely to ensure that the children were not too cold. At 11:45a, the group transitioned indoors to wash hands and continue free play. After free play the group prepared for lunch. Lunch today consisted of nachos, pears, corn, and milk. The completed staff and training worksheet was not received prior to todays visit. Staff files were reviewed and I completed a staff and training worksheet to document the files reviewed. The administrator will need to submit the completed staff and training worksheet within twenty-four (24) hours. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. One (1) children files were monitored today. The classroom operates from 7:00 a.m. to 2:30 p.m. Additional guidance due to Tropical Storm Helene: The following staff are due to complete sixteen (16) hours of orientation within the first six weeks of employment. Once the new staff have completed the required sixteen (16) clock hours please notify me of the date of completion and to let me know the completed form is on file for review. *AV hired 11/4/2024 is forty-five (45) minutes short for the required six hours of orientation training that was required by 11/18/2024. Then one (1) hour short for the remaining six weeks of orientation. A total of one hour and forty-five minutes short for the required sixteen clock hours of orientation. Rule Reference: 10A NCAC 09 .1101(a)(b) Annual fire inspection was due by 1/6/2025. However, due to Tropical Storm Helene, the inspections are delayed. Please reach out to the fire marshal to request an inspection. Once you have contacted the fire marshal, please notify me of the tentative timeline for completion. When the inspection is completed, you will mail the original inspection to me within one (1) week. Rule Reference: 10A NCAC 09 .0304(a) 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. .0604(t); .0302(d)(5) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. .2820(b) Technical assistance was provided as follows: Item #0805 A fire drill was documented for 10/31/2024, but the facility was closed due Tropical Storm Helene and children were not present. The next fire drill was conducted on 11/18/24 with the children present. The December fire drill was documented, but the children left school prior to the drill being conducted. We discussed that in order to count the monthly fire drill, the children must be present. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #840 The first aid kit contained six (6) alcohol pads, two (2) antibiotic ointments, and one (1) cold compress. The teacher removed these items and stored them in the locked office space. We discussed that all children must be cared for in safe environments and protected from the risk of potentially dangerous products. Any product labeled "keep out of reach of children" with any other warnings must be kept in locked storage. We discussed checking the first aid kit monthly to ensure that antibiotic ointments, alcohol wipes, and/or cold compresses are removed and locked in locking cabinet. We can only administer soap, water, and a band aid. Rule Reference: 15A NCAC 18A.2820(b) 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 2/6/2025. 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: When emergency drills and fire drills are conducted, the children must be present in order for the drill to count. If the children are not present when a drill is conducted, the program will need to conduct a drill own their own when the children are present. We discussed moving the extra donation items to the storage building. We discussed if a child were to bring their meals and snacks from home, the parent would need to complete the Nutritional Opt Out form to have on file. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 8 Completed Date: 9/11/2024 Age: From 3 To 4 Total Minutes: 235 Time In: 09:30 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sandra Massingill, Lead Teacher. Your program currently operates with a Five (5) Star Rated License, issued 8/13/2018. The permit restrictions were in compliance including first shift, meeting reduced ratios, and meets enhanced space. Approved for Head Start and NC Pre-K. Sandra Massingill, Lead Teacher, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/9/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group of three- to four-year-old children engaged outdoor gross motor play with dollhouse, mud kitchen, trikes, balls, little tikes climber, caterpillar tunnel, and red stepper. While monitoring outdoors we discussed surfacing for the little tikes climber, adding mulch or a rubber ASTM certified mat to help with cushioning. Staff and I discussed having the trikes ride in the back of the fenced in area to help prevent the possibility of someone getting run into while playing with the doll house or a child getting run into with a child riding down the ramp. I monitored medications while outside and observed three (3) emergency medications for chronic medical condition. Medication forms were missing the route to administer the medication. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. The group lined up and walked to the cafeteria. Once in the cafeteria, one (1) staff member cleaned the tables, while the other staff member led the group through the lunch line. While observing lunch, the children and staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles, and picking up sticks along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the staff and children will need to get hand sanitizer prior to eating lunch. Lunch consisted of chicken and waffles, pineapple, carrots and peas, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, lockdown drill is due to be practiced. The last fire inspection was approved on 1/6/2024. The program’s most recent sanitation inspection was completed on 3/20/2024, with four (4) demerits. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Today, we reviewed the prep assessment that was conducted on 5/29/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/29/2024 – (S. Massingill, L. Maltry) Total score – 5.73 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: Outdoors, there was a slide on grass/dirt, rather than an approved cushioning surface. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: The little tikes climber with slide was observed outside sitting on grass and dirt. We did discuss the need to add mulch or a rubber ASTM approved matting under the climber to assist with cushioning should a child fall. Item 10 Indicator: 3.3 (see pages: 24-25 in the ECERS-R) Score: 2 pts Assessor Comments: As the observation began, the 13 children present washed their hands after breakfast. Another child arrived later and ate pancakes with her hands. Although her hands were washed before eating, this child did not wash her hands after eating. Before lunch, all 14 children washed their hands in the classroom and then walked to the cafeteria. As the children walked to the cafeteria, they touched doors and were encouraged to hold hands with other children. When they arrived to the cafeteria, they were given hand sanitizer; however, the children did not wash their hands with soap and running water in the sink that was inside the cafeteria. After eating cheese dippers with their hands, all children washed their hands when they returned to the classroom. Please refer to the NC Additional Notes for more information. Observations today: Handwashing was observed when entering the classroom from outdoor play, after using the restroom, and prior to exiting the classroom to walk to the cafeteria for lunch. The class will need to use hand sanitizer prior to eating lunch due to soap and water is not accessible in the cafeteria and walking outside to get to the cafeteria. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 2 pts Assessor Comments: The children and teachers used the sink in the classroom to wash their hands after painting, upon arrival, following outdoor play, and before/after meals. This sink was also used by several children to wash their hands after toileting, before the children went outside. The sink was not sprayed with a disinfectant after toileting routines before it was used for other purposes. Observations today: The sink was not observed being disinfected after toileting routines. The sink should have been disinfected prior to washing hand before lunch. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator addresses handwashing related to entering and returning to the classroom, before and after water play, as well as after messy play in addition to handwashing that occurs after contact with bodily fluids and touching contaminated surfaces. Teachers, staff members, and children should wash their hands at least 75% of time when needed. The teachers washed their hands as needed. The children washed their hands 56% of the time. Before using the water table outdoors, 4 children did not use hand sanitizer. Before and after water play in the classroom and following sand play in the classroom, none of the children washed their hands, and were given hand sanitizer instead. *Please note the use of hand sanitizing products while outdoors is an acceptable substitute; indoors, soap and running water should be used for proper handwashing. Observations today: Handwashing was observed when entering the classroom from outdoor play, after using the restroom, and prior to exiting the classroom to walk to the cafeteria for lunch. The class will need to use hand sanitizer prior to eating lunch due to soap and water is not accessible in the cafeteria and walking outside to get to the cafeteria. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outdoors, the safety concern mentioned in item 7 applies to this indicator as well. Observations today: The little tikes climber with slide was observed outside sitting on grass and dirt. We did discuss the need to add mulch or a rubber ASTM approved matting under the climber to assist with cushioning should a child fall. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. While observing lunch, the children did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles and picking up sticks along the way. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. While observing lunch, the staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles along the way. 15A NCAC 18A .2803(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. While monitoring medications, I observed three (3) chronic medication on-site permission to administer medication form was missing the route for administering the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #608 While observing lunch, the children did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles and picking up sticks along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the children will need to get hand sanitizer prior to eating lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING Item #609 While observing lunch, the staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the staff will need to get hand sanitizer prior to eating lunch. Rule Reference 15A NCAC 18A .2803 HANDWASHING Item # 1882 While monitoring medications, I observed one (1) chronic medication on-site permission to administer medication form was missing the route for administering the medication. We discussed that the route the medication should be administer and the parent authorization statement will need to be added to the form or use and complete the Permission to Administer Medication form on the Divisions website. Rule Reference: 10A NCAC 09 ADMINISTERING MEDICATION IN CHILD CARE CENTERS.0803(6)(a-i);.0803(7)(a-g);.0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/25/24. 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: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. We discussed and reviewed the appropriate times to wash hands. We discussed role modeling appropriate eating habits in front of the children. This includes meals, snacks, and beverages consumed in front of the children throughout the day. During today’s visit, the staff ate the same meal as the children and had milk for consumption. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Sandra Massingill, Lead Teacher, during the visit. An electronic 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 .1102 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 8 Completed Date: 9/11/2024 Age: From 3 To 4 Total Minutes: 235 Time In: 09:30 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sandra Massingill, Lead Teacher. Your program currently operates with a Five (5) Star Rated License, issued 8/13/2018. The permit restrictions were in compliance including first shift, meeting reduced ratios, and meets enhanced space. Approved for Head Start and NC Pre-K. Sandra Massingill, Lead Teacher, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/9/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group of three- to four-year-old children engaged outdoor gross motor play with dollhouse, mud kitchen, trikes, balls, little tikes climber, caterpillar tunnel, and red stepper. While monitoring outdoors we discussed surfacing for the little tikes climber, adding mulch or a rubber ASTM certified mat to help with cushioning. Staff and I discussed having the trikes ride in the back of the fenced in area to help prevent the possibility of someone getting run into while playing with the doll house or a child getting run into with a child riding down the ramp. I monitored medications while outside and observed three (3) emergency medications for chronic medical condition. Medication forms were missing the route to administer the medication. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. The group lined up and walked to the cafeteria. Once in the cafeteria, one (1) staff member cleaned the tables, while the other staff member led the group through the lunch line. While observing lunch, the children and staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles, and picking up sticks along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the staff and children will need to get hand sanitizer prior to eating lunch. Lunch consisted of chicken and waffles, pineapple, carrots and peas, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, lockdown drill is due to be practiced. The last fire inspection was approved on 1/6/2024. The program’s most recent sanitation inspection was completed on 3/20/2024, with four (4) demerits. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Today, we reviewed the prep assessment that was conducted on 5/29/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/29/2024 – (S. Massingill, L. Maltry) Total score – 5.73 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: Outdoors, there was a slide on grass/dirt, rather than an approved cushioning surface. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: The little tikes climber with slide was observed outside sitting on grass and dirt. We did discuss the need to add mulch or a rubber ASTM approved matting under the climber to assist with cushioning should a child fall. Item 10 Indicator: 3.3 (see pages: 24-25 in the ECERS-R) Score: 2 pts Assessor Comments: As the observation began, the 13 children present washed their hands after breakfast. Another child arrived later and ate pancakes with her hands. Although her hands were washed before eating, this child did not wash her hands after eating. Before lunch, all 14 children washed their hands in the classroom and then walked to the cafeteria. As the children walked to the cafeteria, they touched doors and were encouraged to hold hands with other children. When they arrived to the cafeteria, they were given hand sanitizer; however, the children did not wash their hands with soap and running water in the sink that was inside the cafeteria. After eating cheese dippers with their hands, all children washed their hands when they returned to the classroom. Please refer to the NC Additional Notes for more information. Observations today: Handwashing was observed when entering the classroom from outdoor play, after using the restroom, and prior to exiting the classroom to walk to the cafeteria for lunch. The class will need to use hand sanitizer prior to eating lunch due to soap and water is not accessible in the cafeteria and walking outside to get to the cafeteria. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 2 pts Assessor Comments: The children and teachers used the sink in the classroom to wash their hands after painting, upon arrival, following outdoor play, and before/after meals. This sink was also used by several children to wash their hands after toileting, before the children went outside. The sink was not sprayed with a disinfectant after toileting routines before it was used for other purposes. Observations today: The sink was not observed being disinfected after toileting routines. The sink should have been disinfected prior to washing hand before lunch. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator addresses handwashing related to entering and returning to the classroom, before and after water play, as well as after messy play in addition to handwashing that occurs after contact with bodily fluids and touching contaminated surfaces. Teachers, staff members, and children should wash their hands at least 75% of time when needed. The teachers washed their hands as needed. The children washed their hands 56% of the time. Before using the water table outdoors, 4 children did not use hand sanitizer. Before and after water play in the classroom and following sand play in the classroom, none of the children washed their hands, and were given hand sanitizer instead. *Please note the use of hand sanitizing products while outdoors is an acceptable substitute; indoors, soap and running water should be used for proper handwashing. Observations today: Handwashing was observed when entering the classroom from outdoor play, after using the restroom, and prior to exiting the classroom to walk to the cafeteria for lunch. The class will need to use hand sanitizer prior to eating lunch due to soap and water is not accessible in the cafeteria and walking outside to get to the cafeteria. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outdoors, the safety concern mentioned in item 7 applies to this indicator as well. Observations today: The little tikes climber with slide was observed outside sitting on grass and dirt. We did discuss the need to add mulch or a rubber ASTM approved matting under the climber to assist with cushioning should a child fall. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. While observing lunch, the children did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles and picking up sticks along the way. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. While observing lunch, the staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles along the way. 15A NCAC 18A .2803(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. While monitoring medications, I observed three (3) chronic medication on-site permission to administer medication form was missing the route for administering the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #608 While observing lunch, the children did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles and picking up sticks along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the children will need to get hand sanitizer prior to eating lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING Item #609 While observing lunch, the staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the staff will need to get hand sanitizer prior to eating lunch. Rule Reference 15A NCAC 18A .2803 HANDWASHING Item # 1882 While monitoring medications, I observed one (1) chronic medication on-site permission to administer medication form was missing the route for administering the medication. We discussed that the route the medication should be administer and the parent authorization statement will need to be added to the form or use and complete the Permission to Administer Medication form on the Divisions website. Rule Reference: 10A NCAC 09 ADMINISTERING MEDICATION IN CHILD CARE CENTERS.0803(6)(a-i);.0803(7)(a-g);.0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/25/24. 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: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. We discussed and reviewed the appropriate times to wash hands. We discussed role modeling appropriate eating habits in front of the children. This includes meals, snacks, and beverages consumed in front of the children throughout the day. During today’s visit, the staff ate the same meal as the children and had milk for consumption. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Sandra Massingill, Lead Teacher, during the visit. An electronic 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 8 Completed Date: 9/11/2024 Age: From 3 To 4 Total Minutes: 235 Time In: 09:30 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sandra Massingill, Lead Teacher. Your program currently operates with a Five (5) Star Rated License, issued 8/13/2018. The permit restrictions were in compliance including first shift, meeting reduced ratios, and meets enhanced space. Approved for Head Start and NC Pre-K. Sandra Massingill, Lead Teacher, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/9/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group of three- to four-year-old children engaged outdoor gross motor play with dollhouse, mud kitchen, trikes, balls, little tikes climber, caterpillar tunnel, and red stepper. While monitoring outdoors we discussed surfacing for the little tikes climber, adding mulch or a rubber ASTM certified mat to help with cushioning. Staff and I discussed having the trikes ride in the back of the fenced in area to help prevent the possibility of someone getting run into while playing with the doll house or a child getting run into with a child riding down the ramp. I monitored medications while outside and observed three (3) emergency medications for chronic medical condition. Medication forms were missing the route to administer the medication. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. The group lined up and walked to the cafeteria. Once in the cafeteria, one (1) staff member cleaned the tables, while the other staff member led the group through the lunch line. While observing lunch, the children and staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles, and picking up sticks along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the staff and children will need to get hand sanitizer prior to eating lunch. Lunch consisted of chicken and waffles, pineapple, carrots and peas, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, lockdown drill is due to be practiced. The last fire inspection was approved on 1/6/2024. The program’s most recent sanitation inspection was completed on 3/20/2024, with four (4) demerits. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Today, we reviewed the prep assessment that was conducted on 5/29/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/29/2024 – (S. Massingill, L. Maltry) Total score – 5.73 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: Outdoors, there was a slide on grass/dirt, rather than an approved cushioning surface. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: The little tikes climber with slide was observed outside sitting on grass and dirt. We did discuss the need to add mulch or a rubber ASTM approved matting under the climber to assist with cushioning should a child fall. Item 10 Indicator: 3.3 (see pages: 24-25 in the ECERS-R) Score: 2 pts Assessor Comments: As the observation began, the 13 children present washed their hands after breakfast. Another child arrived later and ate pancakes with her hands. Although her hands were washed before eating, this child did not wash her hands after eating. Before lunch, all 14 children washed their hands in the classroom and then walked to the cafeteria. As the children walked to the cafeteria, they touched doors and were encouraged to hold hands with other children. When they arrived to the cafeteria, they were given hand sanitizer; however, the children did not wash their hands with soap and running water in the sink that was inside the cafeteria. After eating cheese dippers with their hands, all children washed their hands when they returned to the classroom. Please refer to the NC Additional Notes for more information. Observations today: Handwashing was observed when entering the classroom from outdoor play, after using the restroom, and prior to exiting the classroom to walk to the cafeteria for lunch. The class will need to use hand sanitizer prior to eating lunch due to soap and water is not accessible in the cafeteria and walking outside to get to the cafeteria. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 2 pts Assessor Comments: The children and teachers used the sink in the classroom to wash their hands after painting, upon arrival, following outdoor play, and before/after meals. This sink was also used by several children to wash their hands after toileting, before the children went outside. The sink was not sprayed with a disinfectant after toileting routines before it was used for other purposes. Observations today: The sink was not observed being disinfected after toileting routines. The sink should have been disinfected prior to washing hand before lunch. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator addresses handwashing related to entering and returning to the classroom, before and after water play, as well as after messy play in addition to handwashing that occurs after contact with bodily fluids and touching contaminated surfaces. Teachers, staff members, and children should wash their hands at least 75% of time when needed. The teachers washed their hands as needed. The children washed their hands 56% of the time. Before using the water table outdoors, 4 children did not use hand sanitizer. Before and after water play in the classroom and following sand play in the classroom, none of the children washed their hands, and were given hand sanitizer instead. *Please note the use of hand sanitizing products while outdoors is an acceptable substitute; indoors, soap and running water should be used for proper handwashing. Observations today: Handwashing was observed when entering the classroom from outdoor play, after using the restroom, and prior to exiting the classroom to walk to the cafeteria for lunch. The class will need to use hand sanitizer prior to eating lunch due to soap and water is not accessible in the cafeteria and walking outside to get to the cafeteria. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outdoors, the safety concern mentioned in item 7 applies to this indicator as well. Observations today: The little tikes climber with slide was observed outside sitting on grass and dirt. We did discuss the need to add mulch or a rubber ASTM approved matting under the climber to assist with cushioning should a child fall. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. While observing lunch, the children did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles and picking up sticks along the way. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. While observing lunch, the staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles along the way. 15A NCAC 18A .2803(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. While monitoring medications, I observed three (3) chronic medication on-site permission to administer medication form was missing the route for administering the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #608 While observing lunch, the children did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles and picking up sticks along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the children will need to get hand sanitizer prior to eating lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING Item #609 While observing lunch, the staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the staff will need to get hand sanitizer prior to eating lunch. Rule Reference 15A NCAC 18A .2803 HANDWASHING Item # 1882 While monitoring medications, I observed one (1) chronic medication on-site permission to administer medication form was missing the route for administering the medication. We discussed that the route the medication should be administer and the parent authorization statement will need to be added to the form or use and complete the Permission to Administer Medication form on the Divisions website. Rule Reference: 10A NCAC 09 ADMINISTERING MEDICATION IN CHILD CARE CENTERS.0803(6)(a-i);.0803(7)(a-g);.0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/25/24. 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: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. We discussed and reviewed the appropriate times to wash hands. We discussed role modeling appropriate eating habits in front of the children. This includes meals, snacks, and beverages consumed in front of the children throughout the day. During today’s visit, the staff ate the same meal as the children and had milk for consumption. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Sandra Massingill, Lead Teacher, during the visit. An electronic 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 8 Completed Date: 9/11/2024 Age: From 3 To 4 Total Minutes: 235 Time In: 09:30 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sandra Massingill, Lead Teacher. Your program currently operates with a Five (5) Star Rated License, issued 8/13/2018. The permit restrictions were in compliance including first shift, meeting reduced ratios, and meets enhanced space. Approved for Head Start and NC Pre-K. Sandra Massingill, Lead Teacher, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/9/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group of three- to four-year-old children engaged outdoor gross motor play with dollhouse, mud kitchen, trikes, balls, little tikes climber, caterpillar tunnel, and red stepper. While monitoring outdoors we discussed surfacing for the little tikes climber, adding mulch or a rubber ASTM certified mat to help with cushioning. Staff and I discussed having the trikes ride in the back of the fenced in area to help prevent the possibility of someone getting run into while playing with the doll house or a child getting run into with a child riding down the ramp. I monitored medications while outside and observed three (3) emergency medications for chronic medical condition. Medication forms were missing the route to administer the medication. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. The group lined up and walked to the cafeteria. Once in the cafeteria, one (1) staff member cleaned the tables, while the other staff member led the group through the lunch line. While observing lunch, the children and staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles, and picking up sticks along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the staff and children will need to get hand sanitizer prior to eating lunch. Lunch consisted of chicken and waffles, pineapple, carrots and peas, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, lockdown drill is due to be practiced. The last fire inspection was approved on 1/6/2024. The program’s most recent sanitation inspection was completed on 3/20/2024, with four (4) demerits. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Today, we reviewed the prep assessment that was conducted on 5/29/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/29/2024 – (S. Massingill, L. Maltry) Total score – 5.73 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: Outdoors, there was a slide on grass/dirt, rather than an approved cushioning surface. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: The little tikes climber with slide was observed outside sitting on grass and dirt. We did discuss the need to add mulch or a rubber ASTM approved matting under the climber to assist with cushioning should a child fall. Item 10 Indicator: 3.3 (see pages: 24-25 in the ECERS-R) Score: 2 pts Assessor Comments: As the observation began, the 13 children present washed their hands after breakfast. Another child arrived later and ate pancakes with her hands. Although her hands were washed before eating, this child did not wash her hands after eating. Before lunch, all 14 children washed their hands in the classroom and then walked to the cafeteria. As the children walked to the cafeteria, they touched doors and were encouraged to hold hands with other children. When they arrived to the cafeteria, they were given hand sanitizer; however, the children did not wash their hands with soap and running water in the sink that was inside the cafeteria. After eating cheese dippers with their hands, all children washed their hands when they returned to the classroom. Please refer to the NC Additional Notes for more information. Observations today: Handwashing was observed when entering the classroom from outdoor play, after using the restroom, and prior to exiting the classroom to walk to the cafeteria for lunch. The class will need to use hand sanitizer prior to eating lunch due to soap and water is not accessible in the cafeteria and walking outside to get to the cafeteria. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 2 pts Assessor Comments: The children and teachers used the sink in the classroom to wash their hands after painting, upon arrival, following outdoor play, and before/after meals. This sink was also used by several children to wash their hands after toileting, before the children went outside. The sink was not sprayed with a disinfectant after toileting routines before it was used for other purposes. Observations today: The sink was not observed being disinfected after toileting routines. The sink should have been disinfected prior to washing hand before lunch. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator addresses handwashing related to entering and returning to the classroom, before and after water play, as well as after messy play in addition to handwashing that occurs after contact with bodily fluids and touching contaminated surfaces. Teachers, staff members, and children should wash their hands at least 75% of time when needed. The teachers washed their hands as needed. The children washed their hands 56% of the time. Before using the water table outdoors, 4 children did not use hand sanitizer. Before and after water play in the classroom and following sand play in the classroom, none of the children washed their hands, and were given hand sanitizer instead. *Please note the use of hand sanitizing products while outdoors is an acceptable substitute; indoors, soap and running water should be used for proper handwashing. Observations today: Handwashing was observed when entering the classroom from outdoor play, after using the restroom, and prior to exiting the classroom to walk to the cafeteria for lunch. The class will need to use hand sanitizer prior to eating lunch due to soap and water is not accessible in the cafeteria and walking outside to get to the cafeteria. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outdoors, the safety concern mentioned in item 7 applies to this indicator as well. Observations today: The little tikes climber with slide was observed outside sitting on grass and dirt. We did discuss the need to add mulch or a rubber ASTM approved matting under the climber to assist with cushioning should a child fall. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. While observing lunch, the children did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles and picking up sticks along the way. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. While observing lunch, the staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles along the way. 15A NCAC 18A .2803(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. While monitoring medications, I observed three (3) chronic medication on-site permission to administer medication form was missing the route for administering the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #608 While observing lunch, the children did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles and picking up sticks along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the children will need to get hand sanitizer prior to eating lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING Item #609 While observing lunch, the staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the staff will need to get hand sanitizer prior to eating lunch. Rule Reference 15A NCAC 18A .2803 HANDWASHING Item # 1882 While monitoring medications, I observed one (1) chronic medication on-site permission to administer medication form was missing the route for administering the medication. We discussed that the route the medication should be administer and the parent authorization statement will need to be added to the form or use and complete the Permission to Administer Medication form on the Divisions website. Rule Reference: 10A NCAC 09 ADMINISTERING MEDICATION IN CHILD CARE CENTERS.0803(6)(a-i);.0803(7)(a-g);.0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/25/24. 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: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. We discussed and reviewed the appropriate times to wash hands. We discussed role modeling appropriate eating habits in front of the children. This includes meals, snacks, and beverages consumed in front of the children throughout the day. During today’s visit, the staff ate the same meal as the children and had milk for consumption. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Sandra Massingill, Lead Teacher, during the visit. An electronic 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

NC GS 110-90 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 8 Completed Date: 9/11/2024 Age: From 3 To 4 Total Minutes: 235 Time In: 09:30 AM Time Out: 01:25 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sandra Massingill, Lead Teacher. Your program currently operates with a Five (5) Star Rated License, issued 8/13/2018. The permit restrictions were in compliance including first shift, meeting reduced ratios, and meets enhanced space. Approved for Head Start and NC Pre-K. Sandra Massingill, Lead Teacher, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 2/9/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS-SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions During the visit, I observed the group of three- to four-year-old children engaged outdoor gross motor play with dollhouse, mud kitchen, trikes, balls, little tikes climber, caterpillar tunnel, and red stepper. While monitoring outdoors we discussed surfacing for the little tikes climber, adding mulch or a rubber ASTM certified mat to help with cushioning. Staff and I discussed having the trikes ride in the back of the fenced in area to help prevent the possibility of someone getting run into while playing with the doll house or a child getting run into with a child riding down the ramp. I monitored medications while outside and observed three (3) emergency medications for chronic medical condition. Medication forms were missing the route to administer the medication. After gross motor play, the group transitioned indoors to wash hands and prepare for lunch. The group lined up and walked to the cafeteria. Once in the cafeteria, one (1) staff member cleaned the tables, while the other staff member led the group through the lunch line. While observing lunch, the children and staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles, and picking up sticks along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the staff and children will need to get hand sanitizer prior to eating lunch. Lunch consisted of chicken and waffles, pineapple, carrots and peas, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, lockdown drill is due to be practiced. The last fire inspection was approved on 1/6/2024. The program’s most recent sanitation inspection was completed on 3/20/2024, with four (4) demerits. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. Today, we reviewed the prep assessment that was conducted on 5/29/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/29/2024 – (S. Massingill, L. Maltry) Total score – 5.73 Item 7 Indicator: 3.2 (see pages: 18-19 in the ECERS-R) Score: 2 pts Assessor Comments: Outdoors, there was a slide on grass/dirt, rather than an approved cushioning surface. Refer to the document, NCRLAP's Requirements for Gross Motor Space and Equipment, for more information. Observations today: The little tikes climber with slide was observed outside sitting on grass and dirt. We did discuss the need to add mulch or a rubber ASTM approved matting under the climber to assist with cushioning should a child fall. Item 10 Indicator: 3.3 (see pages: 24-25 in the ECERS-R) Score: 2 pts Assessor Comments: As the observation began, the 13 children present washed their hands after breakfast. Another child arrived later and ate pancakes with her hands. Although her hands were washed before eating, this child did not wash her hands after eating. Before lunch, all 14 children washed their hands in the classroom and then walked to the cafeteria. As the children walked to the cafeteria, they touched doors and were encouraged to hold hands with other children. When they arrived to the cafeteria, they were given hand sanitizer; however, the children did not wash their hands with soap and running water in the sink that was inside the cafeteria. After eating cheese dippers with their hands, all children washed their hands when they returned to the classroom. Please refer to the NC Additional Notes for more information. Observations today: Handwashing was observed when entering the classroom from outdoor play, after using the restroom, and prior to exiting the classroom to walk to the cafeteria for lunch. The class will need to use hand sanitizer prior to eating lunch due to soap and water is not accessible in the cafeteria and walking outside to get to the cafeteria. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 2 pts Assessor Comments: The children and teachers used the sink in the classroom to wash their hands after painting, upon arrival, following outdoor play, and before/after meals. This sink was also used by several children to wash their hands after toileting, before the children went outside. The sink was not sprayed with a disinfectant after toileting routines before it was used for other purposes. Observations today: The sink was not observed being disinfected after toileting routines. The sink should have been disinfected prior to washing hand before lunch. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator addresses handwashing related to entering and returning to the classroom, before and after water play, as well as after messy play in addition to handwashing that occurs after contact with bodily fluids and touching contaminated surfaces. Teachers, staff members, and children should wash their hands at least 75% of time when needed. The teachers washed their hands as needed. The children washed their hands 56% of the time. Before using the water table outdoors, 4 children did not use hand sanitizer. Before and after water play in the classroom and following sand play in the classroom, none of the children washed their hands, and were given hand sanitizer instead. *Please note the use of hand sanitizing products while outdoors is an acceptable substitute; indoors, soap and running water should be used for proper handwashing. Observations today: Handwashing was observed when entering the classroom from outdoor play, after using the restroom, and prior to exiting the classroom to walk to the cafeteria for lunch. The class will need to use hand sanitizer prior to eating lunch due to soap and water is not accessible in the cafeteria and walking outside to get to the cafeteria. Item 14 Indicator: 3.1 (see pages: 32-33 in the ECERS-R) Score: 2 pts Assessor Comments: Outdoors, the safety concern mentioned in item 7 applies to this indicator as well. Observations today: The little tikes climber with slide was observed outside sitting on grass and dirt. We did discuss the need to add mulch or a rubber ASTM approved matting under the climber to assist with cushioning should a child fall. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. The following violations of child care requirements were observed today: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. While observing lunch, the children did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles and picking up sticks along the way. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. While observing lunch, the staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles along the way. 15A NCAC 18A .2803(a) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. While monitoring medications, I observed three (3) chronic medication on-site permission to administer medication form was missing the route for administering the medication. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #608 While observing lunch, the children did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles and picking up sticks along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the children will need to get hand sanitizer prior to eating lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING Item #609 While observing lunch, the staff did not receive hand sanitizer prior to eating lunch after walking to the cafeteria touching the door handles along the way. We discussed that since the children are walking outside through the courtyard to the cafeteria, the staff will need to get hand sanitizer prior to eating lunch. Rule Reference 15A NCAC 18A .2803 HANDWASHING Item # 1882 While monitoring medications, I observed one (1) chronic medication on-site permission to administer medication form was missing the route for administering the medication. We discussed that the route the medication should be administer and the parent authorization statement will need to be added to the form or use and complete the Permission to Administer Medication form on the Divisions website. Rule Reference: 10A NCAC 09 ADMINISTERING MEDICATION IN CHILD CARE CENTERS.0803(6)(a-i);.0803(7)(a-g);.0803(8)(a-d) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/25/24. 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: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. We discussed and reviewed the appropriate times to wash hands. We discussed role modeling appropriate eating habits in front of the children. This includes meals, snacks, and beverages consumed in front of the children throughout the day. During today’s visit, the staff ate the same meal as the children and had milk for consumption. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. 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 Sandra Massingill, Lead Teacher, during the visit. An electronic 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 .1801 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: 0424-347L Visit Date: 4/29/2024 Number Present: 14 Completed Date: 4/30/2024 Age: From 3 To 5 Total Minutes: 146 Time In: 11:09 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a self-reported complaint received by the Division of Child Development and Early Education (DCDEE) on 4/22/24 and sent to me, Karla Terry, Child Care Consultant, on 4/23/24. The reported concern is regarding supervision. A handwritten report of today’s visit was completed, due to class dismissal at 1:00p. I reviewed the handwritten report with you, and signed by Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. A signed copy of the handwritten visit summary was left with you. Upon return to my office, I will complete the visit summary and send it to you via email to sign off and return to me. Sandra Massingill, Lead Teacher, and Lashae Maltry, Teacher Assistant were present and available to ask and answer questions throughout the visit today. Applicable child care requirements were monitored today including supervision, handwashing, staff/child ratio, permit restrictions, approved space and capacity. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 4/29/24. Black Mountain Primary School Head Start operates with a Five (5) Star Rated License, issued 8/13/2018 with restrictions as follows: First shift (daytime care), meeting reduced ratios, and meets enhanced space. Approved for NC Pre-K, and Head Start. Per report, on 4/17/2024 at approximately 11:20am, a four-year-old child was left unattended in the classroom while washing their hands. While the child was washing their hands the class exited the classroom to go to the cafeteria. Video footage of the incident was not available for review. The secretary stated the camera footage only shows where the child was brought in the front entrance and where she took the child to the cafeteria. The facility is in the process of getting more cameras to assist with coverage around the premises. Upon arrival, I was greeted by Ms. Massingill. I observed the group of three- to five-year-old children lining up to go to the cafeteria for lunch. One (1) staff member was at the door and one (1) staff member was walking around the room to ensure all children were in line. The staff conducted a head count prior to exiting the classroom, before exiting the ramp, when they entered through the locked school doors, when they entered the cafeteria, and when the children sat down for lunch. Each time the staff both counted fourteen (14) children. Lunch consisted of chicken sandwich, applesauce, broccoli, and milk. After lunch, the children lined up to prepare to walk back to the classroom. The staff conducted head counts prior to exiting the cafeteria, continuously as they walked from the cafeteria to the classroom, and when they entered the classroom door. When the children arrived in the classroom, they lined up to wash their hands and go to the carpet for group music. Once on the carpet, the staff conducted a head count to ensure all the children were present. Then the children lined up to prepare to go outside. The staff conducted a head count prior to exiting the classroom. Ms. Massingill stated the class had early release at 1:00p. After outside time, the children lined up and returned indoors to wash their hands and have snack prior to going home. Parents began arriving and children were signed out. Today there were two (2) staff present and fourteen (14) children present aged three to five years old. I interviewed three (3) staff members who were present during the incident that occurred on 4/17/2024. Staff reported that prior to exiting the classroom on 4/17/2024, the children were washing their hands and getting in line. Once all the children were in line the staff member at the door needed to go to the restroom. The substitute staff member at the back of the line then came to the front of the line while the other staff member used the restroom. When the staff member returned to line the staff member and the substitute staff member switched places due to the staff member at the back of the line has a school issued key card to get in the school door. The staff members switched places and conducted a head count. Staff members stated that they counted all fifteen (15) children. The class exited the classroom and walked down the ramp. At the end of the ramp, the staff conducted another head count and counted all fifteen (15) children. As part of the interview, the substitute stated they must have miscounted. Then the class walked to the school door to walk across the courtyard to the cafeteria. Once at the cafeteria, one (1) staff member took the children through the lunch line and one (1) staff member stayed at the table to supervise the children as they arrived at the tables. When each of the children were at the table and sat down, one (1) staff member noticed that one (1) child was not with the group. The staff member stated at that time, the school secretary entered the cafeteria with the child who was left in the classroom. The school secretary reported that another staff member stated that she was working in the side garden and one (1) of their students noticed a young child standing outside of the big gate to the courtyard. The child told the staff member they were washing their hands when the class left. The staff then took the child to the front office to get assistance. The school secretary stated that she then walked the child to the cafeteria. The child was left unattended for three (3) minutes prior to another staff member noticing the child standing at the big gate to the courtyard. Then the school secretary reunited the child with their class three (3) minutes later. The staff stated that the child was not crying and did not appear to be scared. The staff did report the incident to the child’s parents. Since the incident, the staff reported they have put new safety measures in place to help prevent any recurrence. They have introduced the new buddy walk where the children hold hands with another classmate during transitions outside of the classroom. They also put in place the name to face recognition, and installed a bell on the door to notify the staff when the classroom exterior door opens. One (1) staff member has participated in a supervision training on 4/23/2024 and the other staff member has a private supervision training that is scheduled for 5/1/2024. During today’s visit, I observed the staff using the buddy walk, name to face recognition, and the classroom exterior door bell. Based on the information received from the staff, a self-report was made, timeline of events that was submitted, and my observations today, the allegation regarding supervision is substantiated. 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 violation was cited during today's visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 4/17/24 at approximately 11:16am a child was left unattended in the classroom. The remainder of the class proceeded to the cafeteria. The child left the classroom and was found by the school therapist outside the school courtyard. The school therapist took the child to the school secretary. The school secretary took the child to the cafeteria to reunite with the class. The child was left unattended for approximately three (3) minutes. .1801(a)(1-5) Item 303 According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. - At approximately 11:16am a child was left unattended in the classroom. The remainder of the class proceeded to the cafeteria. The child left the classroom and was found by the school therapist outside the school courtyard. The school therapist took the child to the school secretary. The school secretary took the child to the cafeteria to reunite with the class. The child was left unattended for approximately three (3) minutes. . Children must be actively supervised at all times. We discussed the current steps you are implementing to ensure this lapse in supervision does not occur in the future. You are utilizing a name to face recognition procedure. You are also reminding staff positioned at the back of the line to conduct a sweep of the classroom and bathroom before exiting the classroom. In your letter of compliance, include a statement that indicates how you will ensure this violation does not occur in the future. Corrective Action Plan All violations are required to be corrected immediately. Due to the nature of violation cited during today’s visit, an unannounced follow-up visit will be conducted. Please note that you must be in compliance with Child Care rules at all times. 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 5/13/2024. 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. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that all staff must adhere to the requirements in NC Child Care rule at all times. Compliance must be maintained even when state representatives are not present at the facility. These rules are in place to ensure the safety and health of children in your care and are, therefore, required to be followed at all times. - Due to the substantiation of supervision concerns, a follow-up visit may be made. - Due to the substantiation of supervision concerns, an Administrative Action may be recommended. 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.

G.S. 110-90 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: 0424-347L Visit Date: 4/29/2024 Number Present: 14 Completed Date: 4/30/2024 Age: From 3 To 5 Total Minutes: 146 Time In: 11:09 AM Time Out: 01:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a self-reported complaint received by the Division of Child Development and Early Education (DCDEE) on 4/22/24 and sent to me, Karla Terry, Child Care Consultant, on 4/23/24. The reported concern is regarding supervision. A handwritten report of today’s visit was completed, due to class dismissal at 1:00p. I reviewed the handwritten report with you, and signed by Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. A signed copy of the handwritten visit summary was left with you. Upon return to my office, I will complete the visit summary and send it to you via email to sign off and return to me. Sandra Massingill, Lead Teacher, and Lashae Maltry, Teacher Assistant were present and available to ask and answer questions throughout the visit today. Applicable child care requirements were monitored today including supervision, handwashing, staff/child ratio, permit restrictions, approved space and capacity. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 4/29/24. Black Mountain Primary School Head Start operates with a Five (5) Star Rated License, issued 8/13/2018 with restrictions as follows: First shift (daytime care), meeting reduced ratios, and meets enhanced space. Approved for NC Pre-K, and Head Start. Per report, on 4/17/2024 at approximately 11:20am, a four-year-old child was left unattended in the classroom while washing their hands. While the child was washing their hands the class exited the classroom to go to the cafeteria. Video footage of the incident was not available for review. The secretary stated the camera footage only shows where the child was brought in the front entrance and where she took the child to the cafeteria. The facility is in the process of getting more cameras to assist with coverage around the premises. Upon arrival, I was greeted by Ms. Massingill. I observed the group of three- to five-year-old children lining up to go to the cafeteria for lunch. One (1) staff member was at the door and one (1) staff member was walking around the room to ensure all children were in line. The staff conducted a head count prior to exiting the classroom, before exiting the ramp, when they entered through the locked school doors, when they entered the cafeteria, and when the children sat down for lunch. Each time the staff both counted fourteen (14) children. Lunch consisted of chicken sandwich, applesauce, broccoli, and milk. After lunch, the children lined up to prepare to walk back to the classroom. The staff conducted head counts prior to exiting the cafeteria, continuously as they walked from the cafeteria to the classroom, and when they entered the classroom door. When the children arrived in the classroom, they lined up to wash their hands and go to the carpet for group music. Once on the carpet, the staff conducted a head count to ensure all the children were present. Then the children lined up to prepare to go outside. The staff conducted a head count prior to exiting the classroom. Ms. Massingill stated the class had early release at 1:00p. After outside time, the children lined up and returned indoors to wash their hands and have snack prior to going home. Parents began arriving and children were signed out. Today there were two (2) staff present and fourteen (14) children present aged three to five years old. I interviewed three (3) staff members who were present during the incident that occurred on 4/17/2024. Staff reported that prior to exiting the classroom on 4/17/2024, the children were washing their hands and getting in line. Once all the children were in line the staff member at the door needed to go to the restroom. The substitute staff member at the back of the line then came to the front of the line while the other staff member used the restroom. When the staff member returned to line the staff member and the substitute staff member switched places due to the staff member at the back of the line has a school issued key card to get in the school door. The staff members switched places and conducted a head count. Staff members stated that they counted all fifteen (15) children. The class exited the classroom and walked down the ramp. At the end of the ramp, the staff conducted another head count and counted all fifteen (15) children. As part of the interview, the substitute stated they must have miscounted. Then the class walked to the school door to walk across the courtyard to the cafeteria. Once at the cafeteria, one (1) staff member took the children through the lunch line and one (1) staff member stayed at the table to supervise the children as they arrived at the tables. When each of the children were at the table and sat down, one (1) staff member noticed that one (1) child was not with the group. The staff member stated at that time, the school secretary entered the cafeteria with the child who was left in the classroom. The school secretary reported that another staff member stated that she was working in the side garden and one (1) of their students noticed a young child standing outside of the big gate to the courtyard. The child told the staff member they were washing their hands when the class left. The staff then took the child to the front office to get assistance. The school secretary stated that she then walked the child to the cafeteria. The child was left unattended for three (3) minutes prior to another staff member noticing the child standing at the big gate to the courtyard. Then the school secretary reunited the child with their class three (3) minutes later. The staff stated that the child was not crying and did not appear to be scared. The staff did report the incident to the child’s parents. Since the incident, the staff reported they have put new safety measures in place to help prevent any recurrence. They have introduced the new buddy walk where the children hold hands with another classmate during transitions outside of the classroom. They also put in place the name to face recognition, and installed a bell on the door to notify the staff when the classroom exterior door opens. One (1) staff member has participated in a supervision training on 4/23/2024 and the other staff member has a private supervision training that is scheduled for 5/1/2024. During today’s visit, I observed the staff using the buddy walk, name to face recognition, and the classroom exterior door bell. Based on the information received from the staff, a self-report was made, timeline of events that was submitted, and my observations today, the allegation regarding supervision is substantiated. 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 violation was cited during today's visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 4/17/24 at approximately 11:16am a child was left unattended in the classroom. The remainder of the class proceeded to the cafeteria. The child left the classroom and was found by the school therapist outside the school courtyard. The school therapist took the child to the school secretary. The school secretary took the child to the cafeteria to reunite with the class. The child was left unattended for approximately three (3) minutes. .1801(a)(1-5) Item 303 According to 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in childcare centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance. (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. - At approximately 11:16am a child was left unattended in the classroom. The remainder of the class proceeded to the cafeteria. The child left the classroom and was found by the school therapist outside the school courtyard. The school therapist took the child to the school secretary. The school secretary took the child to the cafeteria to reunite with the class. The child was left unattended for approximately three (3) minutes. . Children must be actively supervised at all times. We discussed the current steps you are implementing to ensure this lapse in supervision does not occur in the future. You are utilizing a name to face recognition procedure. You are also reminding staff positioned at the back of the line to conduct a sweep of the classroom and bathroom before exiting the classroom. In your letter of compliance, include a statement that indicates how you will ensure this violation does not occur in the future. Corrective Action Plan All violations are required to be corrected immediately. Due to the nature of violation cited during today’s visit, an unannounced follow-up visit will be conducted. Please note that you must be in compliance with Child Care rules at all times. 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 5/13/2024. 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. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation: Today, we discussed the following: - We discussed that all staff must adhere to the requirements in NC Child Care rule at all times. Compliance must be maintained even when state representatives are not present at the facility. These rules are in place to ensure the safety and health of children in your care and are, therefore, required to be followed at all times. - Due to the substantiation of supervision concerns, a follow-up visit may be made. - Due to the substantiation of supervision concerns, an Administrative Action may be recommended. 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 11 Completed Date: 2/9/2024 Age: From 3 To 5 Total Minutes: 305 Time In: 09:40 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 Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Sandra Massingill, Lead Teacher, was on-site and available to assist 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 ninety percent (90%) as of 2/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 2/8/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meeting reduced ratios, and meets enhanced space. The last annual compliance visit was conducted on 2/20/2023. The last fire drill was practiced on 1/18/2024. The last shelter-in-place drill was practiced on 12/14/2023. The last playground inspection was documented on 1/8/2024. The last fire inspection was approved on 1/6/2024. The last sanitation inspection was conducted on 1/8/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was up to date and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Massingill. I observed the group of three- to five-year-old children engaged in free choice center play with blocks, dramatic play, books, manipulatives, puzzles, sand, and science. After free choice center play, the children cleaned up and prepared to go outside. Once outside the children engaged in play with trikes, balls, chalk, shovels, and buckets. After gross motor play outdoors, the children transitioned back indoors to wash hands a prepare to go to lunch. After lunch, the children transitioned back to the classroom for story time. Then the class returned outdoors. Lunch today consisted of mozzarella sticks, fruit juice, salad, and milk. During the visit, I monitored and measured the new modular unit classroom and renovated playground. Space calculations for the new modular unit is twenty-two (22) children at thirty (30) square feet. Space calculations for the renovated playground space is twenty-five (25) children at one hundred (100) square feet. A new fire inspection dated 1/6/2024 and sanitation inspection dated 2/9/2024 was received during the visit and were approved for care. However, the new building inspection that was received during the visit dated 1/8/2024, item 3a and b, and item 27 were not completed. Shawn Wolff, Administrator followed up with the building inspector via email. Until the completed building inspection is received, the space is not approved for care. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:00 a.m. to 2:30 p.m. Parent conferences are held two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by parent meetings, once a month craft time with the families, parent volunteers, parents are welcome at any time. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. .0701(a) Technical assistance was provided as follows: 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. - Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. I suggest cutting the exposed felt flush with the ground to prevent a child from tripping, and removing the broken hard plastic pieces around the outdoor space. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. I suggest having staff member LM complete the emergency information form. 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 2/23/2024. 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: Today, we discussed the following: - Resuming Rated License- a request for rated license was submitted, but the request was terminated due to the classroom moving to a new classroom space. Once the classroom has officially moved to the new classroom, please submit a new request for rated license prep assessment to be conducted. - Outdoor space- with the new renovations, the outdoor space now creates an “L” shape. When outdoors, someone will need to be station at the back of the playground to be able to supervise the area near the storage building and assist with supervision of the main playground space. - When new inspections (ex. Building, fire, sanitation) are completed, please submit the completed inspection to me within one (1) week after the inspection. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0304 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 11 Completed Date: 2/9/2024 Age: From 3 To 5 Total Minutes: 305 Time In: 09:40 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 Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Sandra Massingill, Lead Teacher, was on-site and available to assist 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 ninety percent (90%) as of 2/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 2/8/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meeting reduced ratios, and meets enhanced space. The last annual compliance visit was conducted on 2/20/2023. The last fire drill was practiced on 1/18/2024. The last shelter-in-place drill was practiced on 12/14/2023. The last playground inspection was documented on 1/8/2024. The last fire inspection was approved on 1/6/2024. The last sanitation inspection was conducted on 1/8/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was up to date and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Massingill. I observed the group of three- to five-year-old children engaged in free choice center play with blocks, dramatic play, books, manipulatives, puzzles, sand, and science. After free choice center play, the children cleaned up and prepared to go outside. Once outside the children engaged in play with trikes, balls, chalk, shovels, and buckets. After gross motor play outdoors, the children transitioned back indoors to wash hands a prepare to go to lunch. After lunch, the children transitioned back to the classroom for story time. Then the class returned outdoors. Lunch today consisted of mozzarella sticks, fruit juice, salad, and milk. During the visit, I monitored and measured the new modular unit classroom and renovated playground. Space calculations for the new modular unit is twenty-two (22) children at thirty (30) square feet. Space calculations for the renovated playground space is twenty-five (25) children at one hundred (100) square feet. A new fire inspection dated 1/6/2024 and sanitation inspection dated 2/9/2024 was received during the visit and were approved for care. However, the new building inspection that was received during the visit dated 1/8/2024, item 3a and b, and item 27 were not completed. Shawn Wolff, Administrator followed up with the building inspector via email. Until the completed building inspection is received, the space is not approved for care. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:00 a.m. to 2:30 p.m. Parent conferences are held two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by parent meetings, once a month craft time with the families, parent volunteers, parents are welcome at any time. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. .0701(a) Technical assistance was provided as follows: 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. - Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. I suggest cutting the exposed felt flush with the ground to prevent a child from tripping, and removing the broken hard plastic pieces around the outdoor space. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. I suggest having staff member LM complete the emergency information form. 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 2/23/2024. 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: Today, we discussed the following: - Resuming Rated License- a request for rated license was submitted, but the request was terminated due to the classroom moving to a new classroom space. Once the classroom has officially moved to the new classroom, please submit a new request for rated license prep assessment to be conducted. - Outdoor space- with the new renovations, the outdoor space now creates an “L” shape. When outdoors, someone will need to be station at the back of the playground to be able to supervise the area near the storage building and assist with supervision of the main playground space. - When new inspections (ex. Building, fire, sanitation) are completed, please submit the completed inspection to me within one (1) week after the inspection. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 11 Completed Date: 2/9/2024 Age: From 3 To 5 Total Minutes: 305 Time In: 09:40 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 Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Sandra Massingill, Lead Teacher, was on-site and available to assist 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 ninety percent (90%) as of 2/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 2/8/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meeting reduced ratios, and meets enhanced space. The last annual compliance visit was conducted on 2/20/2023. The last fire drill was practiced on 1/18/2024. The last shelter-in-place drill was practiced on 12/14/2023. The last playground inspection was documented on 1/8/2024. The last fire inspection was approved on 1/6/2024. The last sanitation inspection was conducted on 1/8/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was up to date and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Massingill. I observed the group of three- to five-year-old children engaged in free choice center play with blocks, dramatic play, books, manipulatives, puzzles, sand, and science. After free choice center play, the children cleaned up and prepared to go outside. Once outside the children engaged in play with trikes, balls, chalk, shovels, and buckets. After gross motor play outdoors, the children transitioned back indoors to wash hands a prepare to go to lunch. After lunch, the children transitioned back to the classroom for story time. Then the class returned outdoors. Lunch today consisted of mozzarella sticks, fruit juice, salad, and milk. During the visit, I monitored and measured the new modular unit classroom and renovated playground. Space calculations for the new modular unit is twenty-two (22) children at thirty (30) square feet. Space calculations for the renovated playground space is twenty-five (25) children at one hundred (100) square feet. A new fire inspection dated 1/6/2024 and sanitation inspection dated 2/9/2024 was received during the visit and were approved for care. However, the new building inspection that was received during the visit dated 1/8/2024, item 3a and b, and item 27 were not completed. Shawn Wolff, Administrator followed up with the building inspector via email. Until the completed building inspection is received, the space is not approved for care. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:00 a.m. to 2:30 p.m. Parent conferences are held two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by parent meetings, once a month craft time with the families, parent volunteers, parents are welcome at any time. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. .0701(a) Technical assistance was provided as follows: 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. - Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. I suggest cutting the exposed felt flush with the ground to prevent a child from tripping, and removing the broken hard plastic pieces around the outdoor space. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. I suggest having staff member LM complete the emergency information form. 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 2/23/2024. 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: Today, we discussed the following: - Resuming Rated License- a request for rated license was submitted, but the request was terminated due to the classroom moving to a new classroom space. Once the classroom has officially moved to the new classroom, please submit a new request for rated license prep assessment to be conducted. - Outdoor space- with the new renovations, the outdoor space now creates an “L” shape. When outdoors, someone will need to be station at the back of the playground to be able to supervise the area near the storage building and assist with supervision of the main playground space. - When new inspections (ex. Building, fire, sanitation) are completed, please submit the completed inspection to me within one (1) week after the inspection. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0701 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 11 Completed Date: 2/9/2024 Age: From 3 To 5 Total Minutes: 305 Time In: 09:40 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 Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Sandra Massingill, Lead Teacher, was on-site and available to assist 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 ninety percent (90%) as of 2/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 2/8/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meeting reduced ratios, and meets enhanced space. The last annual compliance visit was conducted on 2/20/2023. The last fire drill was practiced on 1/18/2024. The last shelter-in-place drill was practiced on 12/14/2023. The last playground inspection was documented on 1/8/2024. The last fire inspection was approved on 1/6/2024. The last sanitation inspection was conducted on 1/8/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was up to date and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Massingill. I observed the group of three- to five-year-old children engaged in free choice center play with blocks, dramatic play, books, manipulatives, puzzles, sand, and science. After free choice center play, the children cleaned up and prepared to go outside. Once outside the children engaged in play with trikes, balls, chalk, shovels, and buckets. After gross motor play outdoors, the children transitioned back indoors to wash hands a prepare to go to lunch. After lunch, the children transitioned back to the classroom for story time. Then the class returned outdoors. Lunch today consisted of mozzarella sticks, fruit juice, salad, and milk. During the visit, I monitored and measured the new modular unit classroom and renovated playground. Space calculations for the new modular unit is twenty-two (22) children at thirty (30) square feet. Space calculations for the renovated playground space is twenty-five (25) children at one hundred (100) square feet. A new fire inspection dated 1/6/2024 and sanitation inspection dated 2/9/2024 was received during the visit and were approved for care. However, the new building inspection that was received during the visit dated 1/8/2024, item 3a and b, and item 27 were not completed. Shawn Wolff, Administrator followed up with the building inspector via email. Until the completed building inspection is received, the space is not approved for care. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:00 a.m. to 2:30 p.m. Parent conferences are held two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by parent meetings, once a month craft time with the families, parent volunteers, parents are welcome at any time. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. .0701(a) Technical assistance was provided as follows: 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. - Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. I suggest cutting the exposed felt flush with the ground to prevent a child from tripping, and removing the broken hard plastic pieces around the outdoor space. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. I suggest having staff member LM complete the emergency information form. 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 2/23/2024. 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: Today, we discussed the following: - Resuming Rated License- a request for rated license was submitted, but the request was terminated due to the classroom moving to a new classroom space. Once the classroom has officially moved to the new classroom, please submit a new request for rated license prep assessment to be conducted. - Outdoor space- with the new renovations, the outdoor space now creates an “L” shape. When outdoors, someone will need to be station at the back of the playground to be able to supervise the area near the storage building and assist with supervision of the main playground space. - When new inspections (ex. Building, fire, sanitation) are completed, please submit the completed inspection to me within one (1) week after the inspection. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 11 Completed Date: 2/9/2024 Age: From 3 To 5 Total Minutes: 305 Time In: 09:40 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 Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Sandra Massingill, Lead Teacher, was on-site and available to assist 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 ninety percent (90%) as of 2/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 2/8/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meeting reduced ratios, and meets enhanced space. The last annual compliance visit was conducted on 2/20/2023. The last fire drill was practiced on 1/18/2024. The last shelter-in-place drill was practiced on 12/14/2023. The last playground inspection was documented on 1/8/2024. The last fire inspection was approved on 1/6/2024. The last sanitation inspection was conducted on 1/8/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was up to date and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Massingill. I observed the group of three- to five-year-old children engaged in free choice center play with blocks, dramatic play, books, manipulatives, puzzles, sand, and science. After free choice center play, the children cleaned up and prepared to go outside. Once outside the children engaged in play with trikes, balls, chalk, shovels, and buckets. After gross motor play outdoors, the children transitioned back indoors to wash hands a prepare to go to lunch. After lunch, the children transitioned back to the classroom for story time. Then the class returned outdoors. Lunch today consisted of mozzarella sticks, fruit juice, salad, and milk. During the visit, I monitored and measured the new modular unit classroom and renovated playground. Space calculations for the new modular unit is twenty-two (22) children at thirty (30) square feet. Space calculations for the renovated playground space is twenty-five (25) children at one hundred (100) square feet. A new fire inspection dated 1/6/2024 and sanitation inspection dated 2/9/2024 was received during the visit and were approved for care. However, the new building inspection that was received during the visit dated 1/8/2024, item 3a and b, and item 27 were not completed. Shawn Wolff, Administrator followed up with the building inspector via email. Until the completed building inspection is received, the space is not approved for care. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:00 a.m. to 2:30 p.m. Parent conferences are held two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by parent meetings, once a month craft time with the families, parent volunteers, parents are welcome at any time. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. .0701(a) Technical assistance was provided as follows: 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. - Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. I suggest cutting the exposed felt flush with the ground to prevent a child from tripping, and removing the broken hard plastic pieces around the outdoor space. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. I suggest having staff member LM complete the emergency information form. 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 2/23/2024. 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: Today, we discussed the following: - Resuming Rated License- a request for rated license was submitted, but the request was terminated due to the classroom moving to a new classroom space. Once the classroom has officially moved to the new classroom, please submit a new request for rated license prep assessment to be conducted. - Outdoor space- with the new renovations, the outdoor space now creates an “L” shape. When outdoors, someone will need to be station at the back of the playground to be able to supervise the area near the storage building and assist with supervision of the main playground space. - When new inspections (ex. Building, fire, sanitation) are completed, please submit the completed inspection to me within one (1) week after the inspection. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 11 Completed Date: 2/9/2024 Age: From 3 To 5 Total Minutes: 305 Time In: 09:40 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 Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Sandra Massingill, Lead Teacher, was on-site and available to assist 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 ninety percent (90%) as of 2/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 2/8/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meeting reduced ratios, and meets enhanced space. The last annual compliance visit was conducted on 2/20/2023. The last fire drill was practiced on 1/18/2024. The last shelter-in-place drill was practiced on 12/14/2023. The last playground inspection was documented on 1/8/2024. The last fire inspection was approved on 1/6/2024. The last sanitation inspection was conducted on 1/8/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was up to date and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Massingill. I observed the group of three- to five-year-old children engaged in free choice center play with blocks, dramatic play, books, manipulatives, puzzles, sand, and science. After free choice center play, the children cleaned up and prepared to go outside. Once outside the children engaged in play with trikes, balls, chalk, shovels, and buckets. After gross motor play outdoors, the children transitioned back indoors to wash hands a prepare to go to lunch. After lunch, the children transitioned back to the classroom for story time. Then the class returned outdoors. Lunch today consisted of mozzarella sticks, fruit juice, salad, and milk. During the visit, I monitored and measured the new modular unit classroom and renovated playground. Space calculations for the new modular unit is twenty-two (22) children at thirty (30) square feet. Space calculations for the renovated playground space is twenty-five (25) children at one hundred (100) square feet. A new fire inspection dated 1/6/2024 and sanitation inspection dated 2/9/2024 was received during the visit and were approved for care. However, the new building inspection that was received during the visit dated 1/8/2024, item 3a and b, and item 27 were not completed. Shawn Wolff, Administrator followed up with the building inspector via email. Until the completed building inspection is received, the space is not approved for care. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:00 a.m. to 2:30 p.m. Parent conferences are held two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by parent meetings, once a month craft time with the families, parent volunteers, parents are welcome at any time. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. .0701(a) Technical assistance was provided as follows: 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. - Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. I suggest cutting the exposed felt flush with the ground to prevent a child from tripping, and removing the broken hard plastic pieces around the outdoor space. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. I suggest having staff member LM complete the emergency information form. 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 2/23/2024. 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: Today, we discussed the following: - Resuming Rated License- a request for rated license was submitted, but the request was terminated due to the classroom moving to a new classroom space. Once the classroom has officially moved to the new classroom, please submit a new request for rated license prep assessment to be conducted. - Outdoor space- with the new renovations, the outdoor space now creates an “L” shape. When outdoors, someone will need to be station at the back of the playground to be able to supervise the area near the storage building and assist with supervision of the main playground space. - When new inspections (ex. Building, fire, sanitation) are completed, please submit the completed inspection to me within one (1) week after the inspection. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 11 Completed Date: 2/9/2024 Age: From 3 To 5 Total Minutes: 305 Time In: 09:40 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 Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Sandra Massingill, Lead Teacher, was on-site and available to assist 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 ninety percent (90%) as of 2/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 2/8/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meeting reduced ratios, and meets enhanced space. The last annual compliance visit was conducted on 2/20/2023. The last fire drill was practiced on 1/18/2024. The last shelter-in-place drill was practiced on 12/14/2023. The last playground inspection was documented on 1/8/2024. The last fire inspection was approved on 1/6/2024. The last sanitation inspection was conducted on 1/8/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was up to date and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Massingill. I observed the group of three- to five-year-old children engaged in free choice center play with blocks, dramatic play, books, manipulatives, puzzles, sand, and science. After free choice center play, the children cleaned up and prepared to go outside. Once outside the children engaged in play with trikes, balls, chalk, shovels, and buckets. After gross motor play outdoors, the children transitioned back indoors to wash hands a prepare to go to lunch. After lunch, the children transitioned back to the classroom for story time. Then the class returned outdoors. Lunch today consisted of mozzarella sticks, fruit juice, salad, and milk. During the visit, I monitored and measured the new modular unit classroom and renovated playground. Space calculations for the new modular unit is twenty-two (22) children at thirty (30) square feet. Space calculations for the renovated playground space is twenty-five (25) children at one hundred (100) square feet. A new fire inspection dated 1/6/2024 and sanitation inspection dated 2/9/2024 was received during the visit and were approved for care. However, the new building inspection that was received during the visit dated 1/8/2024, item 3a and b, and item 27 were not completed. Shawn Wolff, Administrator followed up with the building inspector via email. Until the completed building inspection is received, the space is not approved for care. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:00 a.m. to 2:30 p.m. Parent conferences are held two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by parent meetings, once a month craft time with the families, parent volunteers, parents are welcome at any time. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. .0701(a) Technical assistance was provided as follows: 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. - Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. I suggest cutting the exposed felt flush with the ground to prevent a child from tripping, and removing the broken hard plastic pieces around the outdoor space. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. I suggest having staff member LM complete the emergency information form. 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 2/23/2024. 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: Today, we discussed the following: - Resuming Rated License- a request for rated license was submitted, but the request was terminated due to the classroom moving to a new classroom space. Once the classroom has officially moved to the new classroom, please submit a new request for rated license prep assessment to be conducted. - Outdoor space- with the new renovations, the outdoor space now creates an “L” shape. When outdoors, someone will need to be station at the back of the playground to be able to supervise the area near the storage building and assist with supervision of the main playground space. - When new inspections (ex. Building, fire, sanitation) are completed, please submit the completed inspection to me within one (1) week after the inspection. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .3009 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 11 Completed Date: 2/9/2024 Age: From 3 To 5 Total Minutes: 305 Time In: 09:40 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 Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Sandra Massingill, Lead Teacher, was on-site and available to assist 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 ninety percent (90%) as of 2/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 2/8/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meeting reduced ratios, and meets enhanced space. The last annual compliance visit was conducted on 2/20/2023. The last fire drill was practiced on 1/18/2024. The last shelter-in-place drill was practiced on 12/14/2023. The last playground inspection was documented on 1/8/2024. The last fire inspection was approved on 1/6/2024. The last sanitation inspection was conducted on 1/8/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was up to date and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Massingill. I observed the group of three- to five-year-old children engaged in free choice center play with blocks, dramatic play, books, manipulatives, puzzles, sand, and science. After free choice center play, the children cleaned up and prepared to go outside. Once outside the children engaged in play with trikes, balls, chalk, shovels, and buckets. After gross motor play outdoors, the children transitioned back indoors to wash hands a prepare to go to lunch. After lunch, the children transitioned back to the classroom for story time. Then the class returned outdoors. Lunch today consisted of mozzarella sticks, fruit juice, salad, and milk. During the visit, I monitored and measured the new modular unit classroom and renovated playground. Space calculations for the new modular unit is twenty-two (22) children at thirty (30) square feet. Space calculations for the renovated playground space is twenty-five (25) children at one hundred (100) square feet. A new fire inspection dated 1/6/2024 and sanitation inspection dated 2/9/2024 was received during the visit and were approved for care. However, the new building inspection that was received during the visit dated 1/8/2024, item 3a and b, and item 27 were not completed. Shawn Wolff, Administrator followed up with the building inspector via email. Until the completed building inspection is received, the space is not approved for care. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:00 a.m. to 2:30 p.m. Parent conferences are held two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by parent meetings, once a month craft time with the families, parent volunteers, parents are welcome at any time. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. .0701(a) Technical assistance was provided as follows: 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. - Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. I suggest cutting the exposed felt flush with the ground to prevent a child from tripping, and removing the broken hard plastic pieces around the outdoor space. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. I suggest having staff member LM complete the emergency information form. 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 2/23/2024. 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: Today, we discussed the following: - Resuming Rated License- a request for rated license was submitted, but the request was terminated due to the classroom moving to a new classroom space. Once the classroom has officially moved to the new classroom, please submit a new request for rated license prep assessment to be conducted. - Outdoor space- with the new renovations, the outdoor space now creates an “L” shape. When outdoors, someone will need to be station at the back of the playground to be able to supervise the area near the storage building and assist with supervision of the main playground space. - When new inspections (ex. Building, fire, sanitation) are completed, please submit the completed inspection to me within one (1) week after the inspection. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 11 Completed Date: 2/9/2024 Age: From 3 To 5 Total Minutes: 305 Time In: 09:40 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 Karla Terry, Child Care Consultant and also signed by Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Sandra Massingill, Lead Teacher, was on-site and available to assist 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 ninety percent (90%) as of 2/9/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 2/8/2024. Permit type – Five (5) Star Rated License, issued 8/13/2018. Special Services/Restrictions – first shift, meeting reduced ratios, and meets enhanced space. The last annual compliance visit was conducted on 2/20/2023. The last fire drill was practiced on 1/18/2024. The last shelter-in-place drill was practiced on 12/14/2023. The last playground inspection was documented on 1/8/2024. The last fire inspection was approved on 1/6/2024. The last sanitation inspection was conducted on 1/8/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was up to date and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Massingill. I observed the group of three- to five-year-old children engaged in free choice center play with blocks, dramatic play, books, manipulatives, puzzles, sand, and science. After free choice center play, the children cleaned up and prepared to go outside. Once outside the children engaged in play with trikes, balls, chalk, shovels, and buckets. After gross motor play outdoors, the children transitioned back indoors to wash hands a prepare to go to lunch. After lunch, the children transitioned back to the classroom for story time. Then the class returned outdoors. Lunch today consisted of mozzarella sticks, fruit juice, salad, and milk. During the visit, I monitored and measured the new modular unit classroom and renovated playground. Space calculations for the new modular unit is twenty-two (22) children at thirty (30) square feet. Space calculations for the renovated playground space is twenty-five (25) children at one hundred (100) square feet. A new fire inspection dated 1/6/2024 and sanitation inspection dated 2/9/2024 was received during the visit and were approved for care. However, the new building inspection that was received during the visit dated 1/8/2024, item 3a and b, and item 27 were not completed. Shawn Wolff, Administrator followed up with the building inspector via email. Until the completed building inspection is received, the space is not approved for care. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:00 a.m. to 2:30 p.m. Parent conferences are held two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by parent meetings, once a month craft time with the families, parent volunteers, parents are welcome at any time. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. 10A NCAC 09 .0601(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. .0701(a) Technical assistance was provided as follows: 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. - Outdoors, where the storage building previously was, there is exposed felt causing a tripping hazard. There are also small blue broken hard plastic pieces around the outdoor space. I suggest cutting the exposed felt flush with the ground to prevent a child from tripping, and removing the broken hard plastic pieces around the outdoor space. Item #1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. - Staff member LM file did not contain a current emergency information form. The emergency information form on file was dated 8/26/2022. I suggest having staff member LM complete the emergency information form. 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 2/23/2024. 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: Today, we discussed the following: - Resuming Rated License- a request for rated license was submitted, but the request was terminated due to the classroom moving to a new classroom space. Once the classroom has officially moved to the new classroom, please submit a new request for rated license prep assessment to be conducted. - Outdoor space- with the new renovations, the outdoor space now creates an “L” shape. When outdoors, someone will need to be station at the back of the playground to be able to supervise the area near the storage building and assist with supervision of the main playground space. - When new inspections (ex. Building, fire, sanitation) are completed, please submit the completed inspection to me within one (1) week after the inspection. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 11 Completed Date: 9/22/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sandra Massingill, Lead Teacher. 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License issued 8/13/2018. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced ratios. Sandra Massingill, Lead Teacher, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 2/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the lead teacher. The children were engaged in free choice center play with, dramatic play, blocks, science, music, and art. The children began cleaning up to transition outside for gross motor play. After gross motor play, the children returned inside to wash their hands and go to the carpet for a group story time. Once the story concluded, the group lined up to go to lunch. Upon arrival into the cafeteria, the children waited in line with movement and music activity while they waited to go through the lunch line. Prior to going through the line, the group was given hand sanitizer to clean their hands. The staff sat with the children and engaged in conversations during lunch. After lunch, the group transitioned back to the classroom to wash hands, and prepare for nap time. Lunch today consisted of cheese pizza, salad, cool tropics juice, and milk. The last fire drill was practiced on 8/31/2023. The last emergency drill, lockdown drill, was practiced on 9/11/2023. The last fire inspection was approved on 1/17/2023. The program’s most recent sanitation inspection was completed on 1/10/2023, with seven (7) demerits. The Emergency Medical Care Plan is posted and was updated in 8/16/2023. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool for the 2023-2024 school year was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the annual compliance visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The approved curriculum is the Creative Curriculum. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. The Health and Safety training was not completed within the first year of employment for the staff member who was hired 8/12/2022. There are no new staff since the last annual compliance visit conducted on 2/20/2023. The following violation of child care requirements was observed today: Violation Number Comment Rule 1898 Staff did not complete the health and safety training within one year of employment. Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. .1102(a) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Fire drill is due to be conducted by 9/29/2023. - Emergency drill is due to be conducted December 2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 11 Completed Date: 9/22/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sandra Massingill, Lead Teacher. 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License issued 8/13/2018. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced ratios. Sandra Massingill, Lead Teacher, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 2/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the lead teacher. The children were engaged in free choice center play with, dramatic play, blocks, science, music, and art. The children began cleaning up to transition outside for gross motor play. After gross motor play, the children returned inside to wash their hands and go to the carpet for a group story time. Once the story concluded, the group lined up to go to lunch. Upon arrival into the cafeteria, the children waited in line with movement and music activity while they waited to go through the lunch line. Prior to going through the line, the group was given hand sanitizer to clean their hands. The staff sat with the children and engaged in conversations during lunch. After lunch, the group transitioned back to the classroom to wash hands, and prepare for nap time. Lunch today consisted of cheese pizza, salad, cool tropics juice, and milk. The last fire drill was practiced on 8/31/2023. The last emergency drill, lockdown drill, was practiced on 9/11/2023. The last fire inspection was approved on 1/17/2023. The program’s most recent sanitation inspection was completed on 1/10/2023, with seven (7) demerits. The Emergency Medical Care Plan is posted and was updated in 8/16/2023. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool for the 2023-2024 school year was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the annual compliance visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The approved curriculum is the Creative Curriculum. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. The Health and Safety training was not completed within the first year of employment for the staff member who was hired 8/12/2022. There are no new staff since the last annual compliance visit conducted on 2/20/2023. The following violation of child care requirements was observed today: Violation Number Comment Rule 1898 Staff did not complete the health and safety training within one year of employment. Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. .1102(a) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Fire drill is due to be conducted by 9/29/2023. - Emergency drill is due to be conducted December 2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 11 Completed Date: 9/22/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sandra Massingill, Lead Teacher. 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License issued 8/13/2018. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced ratios. Sandra Massingill, Lead Teacher, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 2/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the lead teacher. The children were engaged in free choice center play with, dramatic play, blocks, science, music, and art. The children began cleaning up to transition outside for gross motor play. After gross motor play, the children returned inside to wash their hands and go to the carpet for a group story time. Once the story concluded, the group lined up to go to lunch. Upon arrival into the cafeteria, the children waited in line with movement and music activity while they waited to go through the lunch line. Prior to going through the line, the group was given hand sanitizer to clean their hands. The staff sat with the children and engaged in conversations during lunch. After lunch, the group transitioned back to the classroom to wash hands, and prepare for nap time. Lunch today consisted of cheese pizza, salad, cool tropics juice, and milk. The last fire drill was practiced on 8/31/2023. The last emergency drill, lockdown drill, was practiced on 9/11/2023. The last fire inspection was approved on 1/17/2023. The program’s most recent sanitation inspection was completed on 1/10/2023, with seven (7) demerits. The Emergency Medical Care Plan is posted and was updated in 8/16/2023. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool for the 2023-2024 school year was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the annual compliance visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The approved curriculum is the Creative Curriculum. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. The Health and Safety training was not completed within the first year of employment for the staff member who was hired 8/12/2022. There are no new staff since the last annual compliance visit conducted on 2/20/2023. The following violation of child care requirements was observed today: Violation Number Comment Rule 1898 Staff did not complete the health and safety training within one year of employment. Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. .1102(a) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Fire drill is due to be conducted by 9/29/2023. - Emergency drill is due to be conducted December 2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 11 Completed Date: 9/22/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sandra Massingill, Lead Teacher. 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License issued 8/13/2018. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced ratios. Sandra Massingill, Lead Teacher, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 2/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the lead teacher. The children were engaged in free choice center play with, dramatic play, blocks, science, music, and art. The children began cleaning up to transition outside for gross motor play. After gross motor play, the children returned inside to wash their hands and go to the carpet for a group story time. Once the story concluded, the group lined up to go to lunch. Upon arrival into the cafeteria, the children waited in line with movement and music activity while they waited to go through the lunch line. Prior to going through the line, the group was given hand sanitizer to clean their hands. The staff sat with the children and engaged in conversations during lunch. After lunch, the group transitioned back to the classroom to wash hands, and prepare for nap time. Lunch today consisted of cheese pizza, salad, cool tropics juice, and milk. The last fire drill was practiced on 8/31/2023. The last emergency drill, lockdown drill, was practiced on 9/11/2023. The last fire inspection was approved on 1/17/2023. The program’s most recent sanitation inspection was completed on 1/10/2023, with seven (7) demerits. The Emergency Medical Care Plan is posted and was updated in 8/16/2023. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool for the 2023-2024 school year was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the annual compliance visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The approved curriculum is the Creative Curriculum. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. The Health and Safety training was not completed within the first year of employment for the staff member who was hired 8/12/2022. There are no new staff since the last annual compliance visit conducted on 2/20/2023. The following violation of child care requirements was observed today: Violation Number Comment Rule 1898 Staff did not complete the health and safety training within one year of employment. Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. .1102(a) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Fire drill is due to be conducted by 9/29/2023. - Emergency drill is due to be conducted December 2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3009 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 11 Completed Date: 9/22/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sandra Massingill, Lead Teacher. 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License issued 8/13/2018. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced ratios. Sandra Massingill, Lead Teacher, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 2/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the lead teacher. The children were engaged in free choice center play with, dramatic play, blocks, science, music, and art. The children began cleaning up to transition outside for gross motor play. After gross motor play, the children returned inside to wash their hands and go to the carpet for a group story time. Once the story concluded, the group lined up to go to lunch. Upon arrival into the cafeteria, the children waited in line with movement and music activity while they waited to go through the lunch line. Prior to going through the line, the group was given hand sanitizer to clean their hands. The staff sat with the children and engaged in conversations during lunch. After lunch, the group transitioned back to the classroom to wash hands, and prepare for nap time. Lunch today consisted of cheese pizza, salad, cool tropics juice, and milk. The last fire drill was practiced on 8/31/2023. The last emergency drill, lockdown drill, was practiced on 9/11/2023. The last fire inspection was approved on 1/17/2023. The program’s most recent sanitation inspection was completed on 1/10/2023, with seven (7) demerits. The Emergency Medical Care Plan is posted and was updated in 8/16/2023. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool for the 2023-2024 school year was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the annual compliance visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The approved curriculum is the Creative Curriculum. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. The Health and Safety training was not completed within the first year of employment for the staff member who was hired 8/12/2022. There are no new staff since the last annual compliance visit conducted on 2/20/2023. The following violation of child care requirements was observed today: Violation Number Comment Rule 1898 Staff did not complete the health and safety training within one year of employment. Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. .1102(a) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Fire drill is due to be conducted by 9/29/2023. - Emergency drill is due to be conducted December 2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: BLACK MOUNTAIN PRIMARY SCHOOL HEAD START Facility ID: 11000514 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/22/2023 Number Present: 11 Completed Date: 9/22/2023 Age: From 3 To 5 Total Minutes: 185 Time In: 09:40 AM Time Out: 12:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Sandra Massingill, Lead Teacher. 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 Sandra Massingill, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License issued 8/13/2018. The permit restrictions were in compliance including first shift, meets enhanced space, and meets reduced ratios. Sandra Massingill, Lead Teacher, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 2/20/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to the lead teacher. The children were engaged in free choice center play with, dramatic play, blocks, science, music, and art. The children began cleaning up to transition outside for gross motor play. After gross motor play, the children returned inside to wash their hands and go to the carpet for a group story time. Once the story concluded, the group lined up to go to lunch. Upon arrival into the cafeteria, the children waited in line with movement and music activity while they waited to go through the lunch line. Prior to going through the line, the group was given hand sanitizer to clean their hands. The staff sat with the children and engaged in conversations during lunch. After lunch, the group transitioned back to the classroom to wash hands, and prepare for nap time. Lunch today consisted of cheese pizza, salad, cool tropics juice, and milk. The last fire drill was practiced on 8/31/2023. The last emergency drill, lockdown drill, was practiced on 9/11/2023. The last fire inspection was approved on 1/17/2023. The program’s most recent sanitation inspection was completed on 1/10/2023, with seven (7) demerits. The Emergency Medical Care Plan is posted and was updated in 8/16/2023. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool for the 2023-2024 school year was not reviewed today. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the annual compliance visit. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. The approved curriculum is the Creative Curriculum. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. The Health and Safety training was not completed within the first year of employment for the staff member who was hired 8/12/2022. There are no new staff since the last annual compliance visit conducted on 2/20/2023. The following violation of child care requirements was observed today: Violation Number Comment Rule 1898 Staff did not complete the health and safety training within one year of employment. Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. .1102(a) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/5/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #1898 Staff did not complete the health and safety training within one year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. - Staff member SM hired 8/12/2022 did not completed the health and safety training within one year of employment. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Fire drill is due to be conducted by 9/29/2023. - Emergency drill is due to be conducted December 2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times