10A NCAC 09 .0304 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Caroline Leaming, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Leaming, lead teacher was available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percentage (88%) as of 12/18/24. This facility is owned and operated by Appalachian State University however, it is housed in Blowing Rock Elementary School. This is a NC-Pre-K classrooms. Permit type – Five-star license issued April 19, 2022. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 1/4/24. The last fire drill was practiced on 12/13/24. The last lock down drill was practiced on 11/26/24. The last playground inspection was documented on 11/18/24. The last fire inspection was approved on 8/22/24. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. Even though this inspection is past due, we have flexibilities in place for areas that were impacted by Tropical Storm Helene. This has caused Environmental Health Inspectors to be behind. This facility follows the Emergency Response Plan for Watauga County Schools. The Emergency Medical Care plan was posted but current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and walked to the classroom. When I arrived, the children were gone on a walk. After coming back the children and teachers got their water bottles and went straight outside to play on the playground. The door was left open so that teachers could assist children in going to the restroom. Children washed their hands when they came inside and went to group time. While one teacher went to get lunch, the children had story time on the large carpet area. Lunch today consisted of baked ham, roll, green beans, pineapples, a special holiday cookie and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. After lunch the children cleaned up to prepare for rest time. While children used the bathroom, they had story time in group time. Children laid on their cots while teachers rubbed children’s backs and helped the children settle down for quiet time. After rest time, children washed hands for snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were two children files were monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0803(12) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1044 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. n. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. *The two bus drivers had expired criminal record checks and a qualifying letter was not on file. Item #.849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. *A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. Item #.898 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS e. All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. *A glue gun was in the bottom drawer. 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 on or before January 2, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • I asked about the powdered doughnuts that were served for breakfast. I need to see the ingredients for the sugary breakfast items that are being served. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Caroline Leaming, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Leaming, lead teacher was available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percentage (88%) as of 12/18/24. This facility is owned and operated by Appalachian State University however, it is housed in Blowing Rock Elementary School. This is a NC-Pre-K classrooms. Permit type – Five-star license issued April 19, 2022. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 1/4/24. The last fire drill was practiced on 12/13/24. The last lock down drill was practiced on 11/26/24. The last playground inspection was documented on 11/18/24. The last fire inspection was approved on 8/22/24. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. Even though this inspection is past due, we have flexibilities in place for areas that were impacted by Tropical Storm Helene. This has caused Environmental Health Inspectors to be behind. This facility follows the Emergency Response Plan for Watauga County Schools. The Emergency Medical Care plan was posted but current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and walked to the classroom. When I arrived, the children were gone on a walk. After coming back the children and teachers got their water bottles and went straight outside to play on the playground. The door was left open so that teachers could assist children in going to the restroom. Children washed their hands when they came inside and went to group time. While one teacher went to get lunch, the children had story time on the large carpet area. Lunch today consisted of baked ham, roll, green beans, pineapples, a special holiday cookie and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. After lunch the children cleaned up to prepare for rest time. While children used the bathroom, they had story time in group time. Children laid on their cots while teachers rubbed children’s backs and helped the children settle down for quiet time. After rest time, children washed hands for snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were two children files were monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0803(12) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1044 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. n. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. *The two bus drivers had expired criminal record checks and a qualifying letter was not on file. Item #.849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. *A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. Item #.898 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS e. All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. *A glue gun was in the bottom drawer. 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 on or before January 2, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • I asked about the powdered doughnuts that were served for breakfast. I need to see the ingredients for the sugary breakfast items that are being served. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Caroline Leaming, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Leaming, lead teacher was available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percentage (88%) as of 12/18/24. This facility is owned and operated by Appalachian State University however, it is housed in Blowing Rock Elementary School. This is a NC-Pre-K classrooms. Permit type – Five-star license issued April 19, 2022. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 1/4/24. The last fire drill was practiced on 12/13/24. The last lock down drill was practiced on 11/26/24. The last playground inspection was documented on 11/18/24. The last fire inspection was approved on 8/22/24. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. Even though this inspection is past due, we have flexibilities in place for areas that were impacted by Tropical Storm Helene. This has caused Environmental Health Inspectors to be behind. This facility follows the Emergency Response Plan for Watauga County Schools. The Emergency Medical Care plan was posted but current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and walked to the classroom. When I arrived, the children were gone on a walk. After coming back the children and teachers got their water bottles and went straight outside to play on the playground. The door was left open so that teachers could assist children in going to the restroom. Children washed their hands when they came inside and went to group time. While one teacher went to get lunch, the children had story time on the large carpet area. Lunch today consisted of baked ham, roll, green beans, pineapples, a special holiday cookie and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. After lunch the children cleaned up to prepare for rest time. While children used the bathroom, they had story time in group time. Children laid on their cots while teachers rubbed children’s backs and helped the children settle down for quiet time. After rest time, children washed hands for snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were two children files were monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0803(12) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1044 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. n. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. *The two bus drivers had expired criminal record checks and a qualifying letter was not on file. Item #.849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. *A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. Item #.898 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS e. All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. *A glue gun was in the bottom drawer. 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 on or before January 2, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • I asked about the powdered doughnuts that were served for breakfast. I need to see the ingredients for the sugary breakfast items that are being served. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Caroline Leaming, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Leaming, lead teacher was available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percentage (88%) as of 12/18/24. This facility is owned and operated by Appalachian State University however, it is housed in Blowing Rock Elementary School. This is a NC-Pre-K classrooms. Permit type – Five-star license issued April 19, 2022. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 1/4/24. The last fire drill was practiced on 12/13/24. The last lock down drill was practiced on 11/26/24. The last playground inspection was documented on 11/18/24. The last fire inspection was approved on 8/22/24. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. Even though this inspection is past due, we have flexibilities in place for areas that were impacted by Tropical Storm Helene. This has caused Environmental Health Inspectors to be behind. This facility follows the Emergency Response Plan for Watauga County Schools. The Emergency Medical Care plan was posted but current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and walked to the classroom. When I arrived, the children were gone on a walk. After coming back the children and teachers got their water bottles and went straight outside to play on the playground. The door was left open so that teachers could assist children in going to the restroom. Children washed their hands when they came inside and went to group time. While one teacher went to get lunch, the children had story time on the large carpet area. Lunch today consisted of baked ham, roll, green beans, pineapples, a special holiday cookie and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. After lunch the children cleaned up to prepare for rest time. While children used the bathroom, they had story time in group time. Children laid on their cots while teachers rubbed children’s backs and helped the children settle down for quiet time. After rest time, children washed hands for snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were two children files were monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0803(12) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1044 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. n. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. *The two bus drivers had expired criminal record checks and a qualifying letter was not on file. Item #.849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. *A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. Item #.898 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS e. All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. *A glue gun was in the bottom drawer. 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 on or before January 2, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • I asked about the powdered doughnuts that were served for breakfast. I need to see the ingredients for the sugary breakfast items that are being served. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Caroline Leaming, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Leaming, lead teacher was available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percentage (88%) as of 12/18/24. This facility is owned and operated by Appalachian State University however, it is housed in Blowing Rock Elementary School. This is a NC-Pre-K classrooms. Permit type – Five-star license issued April 19, 2022. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 1/4/24. The last fire drill was practiced on 12/13/24. The last lock down drill was practiced on 11/26/24. The last playground inspection was documented on 11/18/24. The last fire inspection was approved on 8/22/24. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. Even though this inspection is past due, we have flexibilities in place for areas that were impacted by Tropical Storm Helene. This has caused Environmental Health Inspectors to be behind. This facility follows the Emergency Response Plan for Watauga County Schools. The Emergency Medical Care plan was posted but current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and walked to the classroom. When I arrived, the children were gone on a walk. After coming back the children and teachers got their water bottles and went straight outside to play on the playground. The door was left open so that teachers could assist children in going to the restroom. Children washed their hands when they came inside and went to group time. While one teacher went to get lunch, the children had story time on the large carpet area. Lunch today consisted of baked ham, roll, green beans, pineapples, a special holiday cookie and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. After lunch the children cleaned up to prepare for rest time. While children used the bathroom, they had story time in group time. Children laid on their cots while teachers rubbed children’s backs and helped the children settle down for quiet time. After rest time, children washed hands for snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were two children files were monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0803(12) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1044 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. n. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. *The two bus drivers had expired criminal record checks and a qualifying letter was not on file. Item #.849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. *A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. Item #.898 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS e. All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. *A glue gun was in the bottom drawer. 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 on or before January 2, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • I asked about the powdered doughnuts that were served for breakfast. I need to see the ingredients for the sugary breakfast items that are being served. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Caroline Leaming, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Leaming, lead teacher was available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percentage (88%) as of 12/18/24. This facility is owned and operated by Appalachian State University however, it is housed in Blowing Rock Elementary School. This is a NC-Pre-K classrooms. Permit type – Five-star license issued April 19, 2022. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 1/4/24. The last fire drill was practiced on 12/13/24. The last lock down drill was practiced on 11/26/24. The last playground inspection was documented on 11/18/24. The last fire inspection was approved on 8/22/24. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. Even though this inspection is past due, we have flexibilities in place for areas that were impacted by Tropical Storm Helene. This has caused Environmental Health Inspectors to be behind. This facility follows the Emergency Response Plan for Watauga County Schools. The Emergency Medical Care plan was posted but current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and walked to the classroom. When I arrived, the children were gone on a walk. After coming back the children and teachers got their water bottles and went straight outside to play on the playground. The door was left open so that teachers could assist children in going to the restroom. Children washed their hands when they came inside and went to group time. While one teacher went to get lunch, the children had story time on the large carpet area. Lunch today consisted of baked ham, roll, green beans, pineapples, a special holiday cookie and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. After lunch the children cleaned up to prepare for rest time. While children used the bathroom, they had story time in group time. Children laid on their cots while teachers rubbed children’s backs and helped the children settle down for quiet time. After rest time, children washed hands for snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were two children files were monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0803(12) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1044 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. n. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. *The two bus drivers had expired criminal record checks and a qualifying letter was not on file. Item #.849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. *A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. Item #.898 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS e. All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. *A glue gun was in the bottom drawer. 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 on or before January 2, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • I asked about the powdered doughnuts that were served for breakfast. I need to see the ingredients for the sugary breakfast items that are being served. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Caroline Leaming, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Leaming, lead teacher was available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percentage (88%) as of 12/18/24. This facility is owned and operated by Appalachian State University however, it is housed in Blowing Rock Elementary School. This is a NC-Pre-K classrooms. Permit type – Five-star license issued April 19, 2022. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 1/4/24. The last fire drill was practiced on 12/13/24. The last lock down drill was practiced on 11/26/24. The last playground inspection was documented on 11/18/24. The last fire inspection was approved on 8/22/24. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. Even though this inspection is past due, we have flexibilities in place for areas that were impacted by Tropical Storm Helene. This has caused Environmental Health Inspectors to be behind. This facility follows the Emergency Response Plan for Watauga County Schools. The Emergency Medical Care plan was posted but current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and walked to the classroom. When I arrived, the children were gone on a walk. After coming back the children and teachers got their water bottles and went straight outside to play on the playground. The door was left open so that teachers could assist children in going to the restroom. Children washed their hands when they came inside and went to group time. While one teacher went to get lunch, the children had story time on the large carpet area. Lunch today consisted of baked ham, roll, green beans, pineapples, a special holiday cookie and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. After lunch the children cleaned up to prepare for rest time. While children used the bathroom, they had story time in group time. Children laid on their cots while teachers rubbed children’s backs and helped the children settle down for quiet time. After rest time, children washed hands for snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were two children files were monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0803(12) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1044 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. n. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. *The two bus drivers had expired criminal record checks and a qualifying letter was not on file. Item #.849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. *A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. Item #.898 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS e. All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. *A glue gun was in the bottom drawer. 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 on or before January 2, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • I asked about the powdered doughnuts that were served for breakfast. I need to see the ingredients for the sugary breakfast items that are being served. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Caroline Leaming, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Leaming, lead teacher was available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percentage (88%) as of 12/18/24. This facility is owned and operated by Appalachian State University however, it is housed in Blowing Rock Elementary School. This is a NC-Pre-K classrooms. Permit type – Five-star license issued April 19, 2022. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 1/4/24. The last fire drill was practiced on 12/13/24. The last lock down drill was practiced on 11/26/24. The last playground inspection was documented on 11/18/24. The last fire inspection was approved on 8/22/24. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. Even though this inspection is past due, we have flexibilities in place for areas that were impacted by Tropical Storm Helene. This has caused Environmental Health Inspectors to be behind. This facility follows the Emergency Response Plan for Watauga County Schools. The Emergency Medical Care plan was posted but current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and walked to the classroom. When I arrived, the children were gone on a walk. After coming back the children and teachers got their water bottles and went straight outside to play on the playground. The door was left open so that teachers could assist children in going to the restroom. Children washed their hands when they came inside and went to group time. While one teacher went to get lunch, the children had story time on the large carpet area. Lunch today consisted of baked ham, roll, green beans, pineapples, a special holiday cookie and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. After lunch the children cleaned up to prepare for rest time. While children used the bathroom, they had story time in group time. Children laid on their cots while teachers rubbed children’s backs and helped the children settle down for quiet time. After rest time, children washed hands for snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were two children files were monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0803(12) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1044 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. n. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. *The two bus drivers had expired criminal record checks and a qualifying letter was not on file. Item #.849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. *A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. Item #.898 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS e. All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. *A glue gun was in the bottom drawer. 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 on or before January 2, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • I asked about the powdered doughnuts that were served for breakfast. I need to see the ingredients for the sugary breakfast items that are being served. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 12/19/2024 Number Present: 15 Completed Date: 12/19/2024 Age: From 3 To 5 Total Minutes: 270 Time In: 10:30 AM Time Out: 03:00 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 Georgia Lee Marshall, Child Care Consultant and also signed by Caroline Leaming, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site. During today’s visit, Ms. Leaming, lead teacher was available to assist me during my visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percentage (88%) as of 12/18/24. This facility is owned and operated by Appalachian State University however, it is housed in Blowing Rock Elementary School. This is a NC-Pre-K classrooms. Permit type – Five-star license issued April 19, 2022. Special Services/Restrictions – NCPK approved and approved for transportation. Daytime care only, meeting reduced ratios and enhanced space. The last annual compliance visit was conducted on 1/4/24. The last fire drill was practiced on 12/13/24. The last lock down drill was practiced on 11/26/24. The last playground inspection was documented on 11/18/24. The last fire inspection was approved on 8/22/24. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. Even though this inspection is past due, we have flexibilities in place for areas that were impacted by Tropical Storm Helene. This has caused Environmental Health Inspectors to be behind. This facility follows the Emergency Response Plan for Watauga County Schools. The Emergency Medical Care plan was posted but current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I signed in at the front office and walked to the classroom. When I arrived, the children were gone on a walk. After coming back the children and teachers got their water bottles and went straight outside to play on the playground. The door was left open so that teachers could assist children in going to the restroom. Children washed their hands when they came inside and went to group time. While one teacher went to get lunch, the children had story time on the large carpet area. Lunch today consisted of baked ham, roll, green beans, pineapples, a special holiday cookie and milk. There was great interactions and conversations between teachers and children during lunch and throughout the visit. After lunch the children cleaned up to prepare for rest time. While children used the bathroom, they had story time in group time. Children laid on their cots while teachers rubbed children’s backs and helped the children settle down for quiet time. After rest time, children washed hands for snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do offer transportation for Pre-k children ages 4 and 5 years old. The program uses public school buses. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. There were two children files were monitored today. The classroom operates from 7:30a.m. to 2:30 p.m. Mon-Fri. The following violations were documented during today’s visit: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0803(12) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. .0604(e) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The two bus drivers had expired criminal record checks and a qualifying letter was not on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item # 1044 & 1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS e. Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. n. Prior to the expiration date of the qualification letter, the child care provider shall complete and submit the forms listed in Paragraph (a) of this Rule. *The two bus drivers had expired criminal record checks and a qualifying letter was not on file. Item #.849 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. *A child who is no longer enrolled had Benadryl at the facility that wasn’t discarded. Item #.898 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS e. All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. *A glue gun was in the bottom drawer. 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 on or before January 2, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • We discussed staff having a current qualifying letter in order to be left alone with children. This includes bus drivers. • Until bus drivers have a qualifying letter (CBC), they will either need to have a qualified person (a Pre-k teacher) ride with them or the children cannot ride the busses until the background check is complete with a qualifying letter. • We discussed the fact that the teacher assistants now need 15 hours of training per year. • I asked about the powdered doughnuts that were served for breakfast. I need to see the ingredients for the sugary breakfast items that are being served. • We discussed the new ECERS-3 that will be effective February 1, 2025. • NCRLAP has a lot of training and information on the new third edition. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0508 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/4/2024 Number Present: 10 Completed Date: 1/4/2024 Age: From 3 To 5 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gaulther, teacher assistant (subbing for lead teacher while she is on maternity leave), during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Gaulther was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95%) percentage as of January 4, 2024. This facility is an NC Pre-K classroom operated by Appalachian State University, Lucy Brock Lab School and located in Blowing Rock Elementary School. Permit type – Five (5) Star facility issued on 4/19/22. Special Services/Restrictions – 1st shift (Daytime care), The last annual compliance visit was conducted on Meets enhanced space, Meets reduced ratios. The last fire drill was practiced on 12/15/23. The last shelter-in-place drill was practiced on 12/8/23. The last playground inspection was documented 12/14/23. The last fire inspection was approved on 8/24/23. The last sanitation inspection was conducted on 11/20/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay die to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having a snack. Once they were finished with the snacks children got dressed to go outside to play. When children came inside they washed hands and sat down for lunch. Lunch consisted of spaghetti with meat sauce, salad with ranch dressing, garlic bread, fruit cocktail with fluff and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time. Children cooked at books and teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, children put away their blankets and cots and ate snack. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that two (2) children ride the bus in the afternoon only. The program uses public school buses. 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. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. An activity plan was not posted. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted. 10A NCAC 09 .0901(b) 721 All equipment and furnishings were not in good repair. The bamboo section on the fence was broken with rusty wires exposed. G.S. 110-91(6); .0601(b) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A medical report was not on file for J.S. 10A NCAC 09 .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters was not on file for K.H. or S.G. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill should have been conducted in November but occurred in December. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item 0721 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The bamboo section on the fence was broken with rusty wires exposed. Item # 0526 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. Note: The menu was not posted. Item #0428 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Note: An activity plan was not posted. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters was not on file for K.H. or S.G. Item #1811 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Note: The emergency drill should have been conducted in November but occurred in December. Item #1032 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: Medical Report A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Note: A medical report was not on file for J.S. 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 January 18, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed the importance of the staff and training worksheet being ready at all times. • We discussed the old couch in the home living center needing to be discarded since it is in poor repair and a new one is there to replace it. • We discussed to pay attention to the corners of the rugs turning up. The rug in front of the sink is curled up and could be a tripping hazard. • We discussed the importance of the emergency drills being conducted every three (3) months. • We discussed that if the mulch is frozen, children can’t play on the climbers. The mulch is not resilient therefore it is not safe. • The mulch needs to be fluffed as soon as the mulch is thawed. • We have discussed this in the past. It is important not to store anything on top of the cots. A clean sheet was put on the top cot since there were boxes were stored on top. • The refrigerator thermometer was on target, however the refrigerator was in need for a deep clean. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 17 Completed Date: 9/12/2023 Age: From 3 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gauthier, teacher assistant, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Phillips, lead teacher, and Dr. Anderson, program administrator. Upon my arrival I greeted the teachers and children and explained the reason for my visit. Caroline Phillips, lead teacher, assisted me during the first part of my visit, but she had to leave for a Dr. appointment. Children were observed during a free play outside. Children were riding on trikes, jumping on the mini trampoline, climbing, balancing and throwing. Children were observed coming inside with a teacher for bathroom breaks as needed. One child was inside most of the observation with a one-on-one to help him calm his body and take care of his needs. I observed story/group time while the other teacher prepared lunches. Children washed hands, ate lunch and laid down for rest time. Lunch today was beef and cheese nachos, tortilla chips, black beans, rice, craisins and milk. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication- None Storage of Hazardous Substances Storage of Medication- None Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued on 4/19/22. Permit Restrictions- Daytime care only, meets reduced ratios and enhanced space. The last fire drill was practiced 8/31/23. An emergency drill was conducted on 8/30/23. The last fire inspection was 8/24/23. The last sanitation inspection was completed on 4/6/23 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: 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. Teachers and children did not wash hands after being outside and coming inside for a story/group time. 15A NCAC 18A .2803(c) 1043 All staff records, except financial records, were not made available for review. Staff files for K.S., C.G. and J. S. were not on-site and available for review. G.S. 110-91( 9) Technical assistance: Item #.0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Teachers and children did not wash hands after being outside and coming inside for a story/group time. Item #.1043 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files for K.S., C.G. and J. S. were not on-site and available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by September 26, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. 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. Consultation: • We discussed the confusion around the opt-out form. Dr. Anderson requested a meeting to get more clarification on this and other items. • We discussed that children should not walk around with their water bottles. We discussed the water bottle station/cart outside and letting children know to have their water break at the cart. • We discussed the location of the trampoline so that it is in the safest place possible. • The summery of the law was posted, but the updated version should replace the one that is posted. • The standing mirror in the dramatic play area seems to be unstable. Either repair or remove. • The cafeteria changed the menu today due to a truck issue. Be sure that you write in the changed on the posted menu. • I noticed a microwave in the classroom that I haven’t noticed in the past, but it has been here for years. I am not sure why I didn’t realize it before. Dr. Anderson stated that the microwave is for staff only. We discussed how it has to be out of reach of children, which is five (5) feet up. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 17 Completed Date: 9/12/2023 Age: From 3 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gauthier, teacher assistant, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Phillips, lead teacher, and Dr. Anderson, program administrator. Upon my arrival I greeted the teachers and children and explained the reason for my visit. Caroline Phillips, lead teacher, assisted me during the first part of my visit, but she had to leave for a Dr. appointment. Children were observed during a free play outside. Children were riding on trikes, jumping on the mini trampoline, climbing, balancing and throwing. Children were observed coming inside with a teacher for bathroom breaks as needed. One child was inside most of the observation with a one-on-one to help him calm his body and take care of his needs. I observed story/group time while the other teacher prepared lunches. Children washed hands, ate lunch and laid down for rest time. Lunch today was beef and cheese nachos, tortilla chips, black beans, rice, craisins and milk. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication- None Storage of Hazardous Substances Storage of Medication- None Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued on 4/19/22. Permit Restrictions- Daytime care only, meets reduced ratios and enhanced space. The last fire drill was practiced 8/31/23. An emergency drill was conducted on 8/30/23. The last fire inspection was 8/24/23. The last sanitation inspection was completed on 4/6/23 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: 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. Teachers and children did not wash hands after being outside and coming inside for a story/group time. 15A NCAC 18A .2803(c) 1043 All staff records, except financial records, were not made available for review. Staff files for K.S., C.G. and J. S. were not on-site and available for review. G.S. 110-91( 9) Technical assistance: Item #.0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Teachers and children did not wash hands after being outside and coming inside for a story/group time. Item #.1043 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files for K.S., C.G. and J. S. were not on-site and available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by September 26, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. 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. Consultation: • We discussed the confusion around the opt-out form. Dr. Anderson requested a meeting to get more clarification on this and other items. • We discussed that children should not walk around with their water bottles. We discussed the water bottle station/cart outside and letting children know to have their water break at the cart. • We discussed the location of the trampoline so that it is in the safest place possible. • The summery of the law was posted, but the updated version should replace the one that is posted. • The standing mirror in the dramatic play area seems to be unstable. Either repair or remove. • The cafeteria changed the menu today due to a truck issue. Be sure that you write in the changed on the posted menu. • I noticed a microwave in the classroom that I haven’t noticed in the past, but it has been here for years. I am not sure why I didn’t realize it before. Dr. Anderson stated that the microwave is for staff only. We discussed how it has to be out of reach of children, which is five (5) feet up. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 17 Completed Date: 9/12/2023 Age: From 3 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gauthier, teacher assistant, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Phillips, lead teacher, and Dr. Anderson, program administrator. Upon my arrival I greeted the teachers and children and explained the reason for my visit. Caroline Phillips, lead teacher, assisted me during the first part of my visit, but she had to leave for a Dr. appointment. Children were observed during a free play outside. Children were riding on trikes, jumping on the mini trampoline, climbing, balancing and throwing. Children were observed coming inside with a teacher for bathroom breaks as needed. One child was inside most of the observation with a one-on-one to help him calm his body and take care of his needs. I observed story/group time while the other teacher prepared lunches. Children washed hands, ate lunch and laid down for rest time. Lunch today was beef and cheese nachos, tortilla chips, black beans, rice, craisins and milk. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication- None Storage of Hazardous Substances Storage of Medication- None Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued on 4/19/22. Permit Restrictions- Daytime care only, meets reduced ratios and enhanced space. The last fire drill was practiced 8/31/23. An emergency drill was conducted on 8/30/23. The last fire inspection was 8/24/23. The last sanitation inspection was completed on 4/6/23 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: 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. Teachers and children did not wash hands after being outside and coming inside for a story/group time. 15A NCAC 18A .2803(c) 1043 All staff records, except financial records, were not made available for review. Staff files for K.S., C.G. and J. S. were not on-site and available for review. G.S. 110-91( 9) Technical assistance: Item #.0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Teachers and children did not wash hands after being outside and coming inside for a story/group time. Item #.1043 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files for K.S., C.G. and J. S. were not on-site and available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by September 26, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. 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. Consultation: • We discussed the confusion around the opt-out form. Dr. Anderson requested a meeting to get more clarification on this and other items. • We discussed that children should not walk around with their water bottles. We discussed the water bottle station/cart outside and letting children know to have their water break at the cart. • We discussed the location of the trampoline so that it is in the safest place possible. • The summery of the law was posted, but the updated version should replace the one that is posted. • The standing mirror in the dramatic play area seems to be unstable. Either repair or remove. • The cafeteria changed the menu today due to a truck issue. Be sure that you write in the changed on the posted menu. • I noticed a microwave in the classroom that I haven’t noticed in the past, but it has been here for years. I am not sure why I didn’t realize it before. Dr. Anderson stated that the microwave is for staff only. We discussed how it has to be out of reach of children, which is five (5) feet up. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 17 Completed Date: 9/12/2023 Age: From 3 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gauthier, teacher assistant, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Phillips, lead teacher, and Dr. Anderson, program administrator. Upon my arrival I greeted the teachers and children and explained the reason for my visit. Caroline Phillips, lead teacher, assisted me during the first part of my visit, but she had to leave for a Dr. appointment. Children were observed during a free play outside. Children were riding on trikes, jumping on the mini trampoline, climbing, balancing and throwing. Children were observed coming inside with a teacher for bathroom breaks as needed. One child was inside most of the observation with a one-on-one to help him calm his body and take care of his needs. I observed story/group time while the other teacher prepared lunches. Children washed hands, ate lunch and laid down for rest time. Lunch today was beef and cheese nachos, tortilla chips, black beans, rice, craisins and milk. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication- None Storage of Hazardous Substances Storage of Medication- None Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued on 4/19/22. Permit Restrictions- Daytime care only, meets reduced ratios and enhanced space. The last fire drill was practiced 8/31/23. An emergency drill was conducted on 8/30/23. The last fire inspection was 8/24/23. The last sanitation inspection was completed on 4/6/23 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: 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. Teachers and children did not wash hands after being outside and coming inside for a story/group time. 15A NCAC 18A .2803(c) 1043 All staff records, except financial records, were not made available for review. Staff files for K.S., C.G. and J. S. were not on-site and available for review. G.S. 110-91( 9) Technical assistance: Item #.0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Teachers and children did not wash hands after being outside and coming inside for a story/group time. Item #.1043 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files for K.S., C.G. and J. S. were not on-site and available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by September 26, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. 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. Consultation: • We discussed the confusion around the opt-out form. Dr. Anderson requested a meeting to get more clarification on this and other items. • We discussed that children should not walk around with their water bottles. We discussed the water bottle station/cart outside and letting children know to have their water break at the cart. • We discussed the location of the trampoline so that it is in the safest place possible. • The summery of the law was posted, but the updated version should replace the one that is posted. • The standing mirror in the dramatic play area seems to be unstable. Either repair or remove. • The cafeteria changed the menu today due to a truck issue. Be sure that you write in the changed on the posted menu. • I noticed a microwave in the classroom that I haven’t noticed in the past, but it has been here for years. I am not sure why I didn’t realize it before. Dr. Anderson stated that the microwave is for staff only. We discussed how it has to be out of reach of children, which is five (5) feet up. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 17 Completed Date: 9/12/2023 Age: From 3 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gauthier, teacher assistant, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Phillips, lead teacher, and Dr. Anderson, program administrator. Upon my arrival I greeted the teachers and children and explained the reason for my visit. Caroline Phillips, lead teacher, assisted me during the first part of my visit, but she had to leave for a Dr. appointment. Children were observed during a free play outside. Children were riding on trikes, jumping on the mini trampoline, climbing, balancing and throwing. Children were observed coming inside with a teacher for bathroom breaks as needed. One child was inside most of the observation with a one-on-one to help him calm his body and take care of his needs. I observed story/group time while the other teacher prepared lunches. Children washed hands, ate lunch and laid down for rest time. Lunch today was beef and cheese nachos, tortilla chips, black beans, rice, craisins and milk. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication- None Storage of Hazardous Substances Storage of Medication- None Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued on 4/19/22. Permit Restrictions- Daytime care only, meets reduced ratios and enhanced space. The last fire drill was practiced 8/31/23. An emergency drill was conducted on 8/30/23. The last fire inspection was 8/24/23. The last sanitation inspection was completed on 4/6/23 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: 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. Teachers and children did not wash hands after being outside and coming inside for a story/group time. 15A NCAC 18A .2803(c) 1043 All staff records, except financial records, were not made available for review. Staff files for K.S., C.G. and J. S. were not on-site and available for review. G.S. 110-91( 9) Technical assistance: Item #.0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Teachers and children did not wash hands after being outside and coming inside for a story/group time. Item #.1043 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files for K.S., C.G. and J. S. were not on-site and available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by September 26, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. 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. Consultation: • We discussed the confusion around the opt-out form. Dr. Anderson requested a meeting to get more clarification on this and other items. • We discussed that children should not walk around with their water bottles. We discussed the water bottle station/cart outside and letting children know to have their water break at the cart. • We discussed the location of the trampoline so that it is in the safest place possible. • The summery of the law was posted, but the updated version should replace the one that is posted. • The standing mirror in the dramatic play area seems to be unstable. Either repair or remove. • The cafeteria changed the menu today due to a truck issue. Be sure that you write in the changed on the posted menu. • I noticed a microwave in the classroom that I haven’t noticed in the past, but it has been here for years. I am not sure why I didn’t realize it before. Dr. Anderson stated that the microwave is for staff only. We discussed how it has to be out of reach of children, which is five (5) feet up. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: LUCY BROCK COLLABORATIVE CLASSROOM AT BLOWING ROCK Facility ID: 95000153 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/12/2023 Number Present: 17 Completed Date: 9/12/2023 Age: From 3 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Victoria Gauthier, teacher assistant, during my visit. An electronic signed copy of the visit summary was electronically emailed to Ms. Phillips, lead teacher, and Dr. Anderson, program administrator. Upon my arrival I greeted the teachers and children and explained the reason for my visit. Caroline Phillips, lead teacher, assisted me during the first part of my visit, but she had to leave for a Dr. appointment. Children were observed during a free play outside. Children were riding on trikes, jumping on the mini trampoline, climbing, balancing and throwing. Children were observed coming inside with a teacher for bathroom breaks as needed. One child was inside most of the observation with a one-on-one to help him calm his body and take care of his needs. I observed story/group time while the other teacher prepared lunches. Children washed hands, ate lunch and laid down for rest time. Lunch today was beef and cheese nachos, tortilla chips, black beans, rice, craisins and milk. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication- None Storage of Hazardous Substances Storage of Medication- None Adequate/Approved Space General Safety Discipline Program Records License Posted- Five (5) star license issued on 4/19/22. Permit Restrictions- Daytime care only, meets reduced ratios and enhanced space. The last fire drill was practiced 8/31/23. An emergency drill was conducted on 8/30/23. The last fire inspection was 8/24/23. The last sanitation inspection was completed on 4/6/23 with six (6) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The following violations were documented during today’s visit: 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. Teachers and children did not wash hands after being outside and coming inside for a story/group time. 15A NCAC 18A .2803(c) 1043 All staff records, except financial records, were not made available for review. Staff files for K.S., C.G. and J. S. were not on-site and available for review. G.S. 110-91( 9) Technical assistance: Item #.0608 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. Note: Teachers and children did not wash hands after being outside and coming inside for a story/group time. Item #.1043 110-91. Mandatory standards for a license. All child care facilities shall comply with all State laws and federal laws and local ordinances that pertain to child health, safety, and welfare. Except as otherwise provided in this Article, the standards in this section shall be complied with by all child care facilities. However, none of the standards in this section apply to the school-age children of the operator of a child care facility but do apply to the preschool-age children of the operator. Children 13 years of age or older may receive child care on a voluntary basis provided all applicable required standards are met. The standards in this section, along with any other applicable State laws and federal laws or local ordinances, shall be the required standards for the issuance of a license by the Secretary under the policies and procedures of the Commission except that the Commission may, in its discretion, adopt less stringent standards for the licensing of facilities which provide care on a temporary, part-time, drop-in, seasonal, after-school or other than a full-time basis. (9) Records. – Each child care facility shall keep accurate records on each child receiving care in the child care facility and on each staff member or other person delegated responsibility for the care of children in accordance with a form furnished or approved by the Commission, and shall submit records as required by the Department. All records of any child care facility, except financial records, shall be available for review by the Secretary or by duly authorized representatives of the Department or a cooperating agency who shall be designated by the Secretary and shall be submitted as required by the Department. Note: Staff files for K.S., C.G. and J. S. were not on-site and available for review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by September 26, 2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: lee.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email lee.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. 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. Consultation: • We discussed the confusion around the opt-out form. Dr. Anderson requested a meeting to get more clarification on this and other items. • We discussed that children should not walk around with their water bottles. We discussed the water bottle station/cart outside and letting children know to have their water break at the cart. • We discussed the location of the trampoline so that it is in the safest place possible. • The summery of the law was posted, but the updated version should replace the one that is posted. • The standing mirror in the dramatic play area seems to be unstable. Either repair or remove. • The cafeteria changed the menu today due to a truck issue. Be sure that you write in the changed on the posted menu. • I noticed a microwave in the classroom that I haven’t noticed in the past, but it has been here for years. I am not sure why I didn’t realize it before. Dr. Anderson stated that the microwave is for staff only. We discussed how it has to be out of reach of children, which is five (5) feet up. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall@dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times